Clinical Psychology Services Pc in Fairfax - Clinical
Clinical Psychology Services Pc - NPI 1194818054
Clinical Psychology Services Pc is a Clinical in Fairfax, Virginia. Clinical Psychology Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clinical Psychology Services Pc is 1194818054. The last update date is 2013-04-22.
Clinical Psychology Services Pc's current location address is 11130 Fairfax Blvd, Fairfax, Virginia. You can contact this provider via phone number 7036911326 and fax number 7036913553. The mailing address for Clinical Psychology Services Pc is 11130 Fairfax Blvd, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clinical Psychology Services Pc |
|---|---|
| Address | 11130 Fairfax Blvd, Fairfax, Virginia |
| Phone Number | 7036911326 |
| Fax Number | 7036913553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ruxer W David |
| Credentials | PHD |
| Telephone Number | 7036911326 |
NPI Number Detail
| NPI Number | 1194818054 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2013-04-22 |
Provider Mailing Address Detail
| Address | 11130 Fairfax Blvd |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220305035 |
| Phone Number | 7036911326 |
| Fax Number | 7036913553 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7799195 | VA | -- |
Post Comment/ Review Below
What is the Clinical Psychology Services Pc's 1194818054?
The Clinical Psychology Services Pc's NPI (National Provider Identifier) Number is 1194818054. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Clinical Psychology Services Pc is located?
The Clinical Psychology Services Pc is situated at the following address: 11130 Fairfax Blvd, Fairfax, VA, 220305035.
What is Clinical Psychology Services Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clinical Psychology Services Pc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Clinical Psychology Services Pc receive its 1194818054 assignment from the Centers for Medicare & Medicaid Services?
The Clinical Psychology Services Pc was assigned its 1194818054 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clinical Psychology Services Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clinical Psychology Services Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-22.