| Asg Psychological Services, Llc | |
|
14737 Truitt Farm Dr Centreville VA 20120-5413 | |
| (919) 645-7414 | |
| Not Available |
| Full Name | Asg Psychological Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14737 Truitt Farm Dr, Centreville, Virginia |
| Authorized Official Name and Position | Abdul Ghafoori (OWNER) |
| Authorized Official Contact | 9196457414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asg Psychological Services, Llc 14737 Truitt Farm Dr Centreville VA 20120-5413 Ph: (919) 645-7414 | Asg Psychological Services, Llc 14737 Truitt Farm Dr Centreville VA 20120-5413 Ph: (919) 645-7414 |
| NPI Number | 1366221616 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366221616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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