| Psychological And Life Skills Associates, P.c. | |
|
13885 Hedgewood Dr Ste 245 Psychological And Life Skills Associates, P.c. Woodbridge VA 22193-7931 | |
| (703) 490-0336 | |
| (703) 490-4525 |
| Full Name | Psychological And Life Skills Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 13885 Hedgewood Dr Ste 245, Woodbridge, Virginia |
| Authorized Official Name and Position | Christopher T Haley (PRESIDENT) |
| Authorized Official Contact | 7034900336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological And Life Skills Associates, P.c. 13885 Hedgewood Dr Ste 245 Psychological And Life Skills Associates, P.c. Woodbridge VA 22193-7931 Ph: (703) 490-0336 | Psychological And Life Skills Associates, P.c. 13885 Hedgewood Dr Ste 245 Psychological And Life Skills Associates, P.c. Woodbridge VA 22193-7931 Ph: (703) 490-0336 |
| NPI Number | 1619066727 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 4688661838 |
|---|---|
| Medicare Enrollment ID | O20040428001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619066727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael D Schell Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720165129 PECOS PAC ID: 7113979253 Enrollment ID: I20050216000739 |
| Provider Name | Sandra M Mansfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013082965 PECOS PAC ID: 6800935479 Enrollment ID: I20091120000590 |
| Provider Name | Kimberly Strand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306931126 PECOS PAC ID: 9638344831 Enrollment ID: I20111217000011 |
| Provider Name | Felicia J Leisersohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316041429 PECOS PAC ID: 0042351330 Enrollment ID: I20141212002300 |
| Provider Name | Tara D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639560378 PECOS PAC ID: 8628380672 Enrollment ID: I20150702002037 |
| Provider Name | Amanda Jb Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801291026 PECOS PAC ID: 8325307713 Enrollment ID: I20180110000822 |
| Provider Name | Scott F Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023490737 PECOS PAC ID: 9335401629 Enrollment ID: I20180327000283 |
| Provider Name | Sara L Caparelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801434238 PECOS PAC ID: 8426485814 Enrollment ID: I20200225000582 |
| Provider Name | David W Labrie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851362362 PECOS PAC ID: 9436397254 Enrollment ID: I20201022000368 |
| Provider Name | Katherine Fountain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972127223 PECOS PAC ID: 0749630119 Enrollment ID: I20231227001674 |
| Provider Name | Tiffany M Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265920219 PECOS PAC ID: 9830610328 Enrollment ID: I20250313001217 |
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