Clinical Psychology Services

NPI 1184034779 - Psychologist - 103TC0700X

NPI Details
NPI 1184034779
Enumeration Date 05/05/2014
Last Updated 05/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID WILLIAM DAVID
Position CLINICAL PSYCHOLOGIST
Phone (703) 691-1326
Fax
Practice Location
11130 FAIRFAX BLVD
ST. 305
FAIRFAX VA, 22030-5035, US
Phone (703) 691-1326
Fax
Business Location
11130 FAIRFAX BLVD
ST. 305
FAIRFAX VA, 22030-5035, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Clinical Psychology Services NPI is 1184034779, taxonomy code is 103TC0700X Clinical Psychology Services physically located at 11130 Fairfax Blvd, Fairfax VA, 22030-5035. NPI Number 1033115704 has the healthcare provider type.

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1184034779 NPI number is provided on an as is basis without warranty of any kind. 1184034779 is maintained by the National Plan & Provider Enumeration System. The contents of Clinical Psychology Services are for informational purposes only.