Associated Clinical Services | |
8348 Traford Ln Suite 102 Springfield VA 22152 | |
(703) 569-8731 | |
(703) 569-7248 |
Full Name | Associated Clinical Services |
---|---|
Speciality | Psychologist |
Location | 8348 Traford Ln, Springfield, Virginia |
Authorized Official Name and Position | Edwin N. Carter (PRESIDENT/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7035698731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Associated Clinical Services 8348 Traford Ln Suite 102 Springfield VA 22152-1663 Ph: (703) 569-8731 | Associated Clinical Services 8348 Traford Ln Suite 102 Springfield VA 22152 Ph: (703) 569-8731 |
NPI Number | 1073522124 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1254496888 |
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Medicare Enrollment ID | O20090216000408 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073522124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Anne Boling |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144324237 PECOS PAC ID: 5395789333 Enrollment ID: I20050610000609 |
Provider Name | Edwin N Carter |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417966474 PECOS PAC ID: 5991860520 Enrollment ID: I20090216000390 |
Provider Name | Anthony Henley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245422062 PECOS PAC ID: 2062553845 Enrollment ID: I20091231000284 |
Provider Name | Bain Ford |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043520679 PECOS PAC ID: 0244417053 Enrollment ID: I20110603000365 |
Provider Name | Amanda L Warbel |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982922712 PECOS PAC ID: 2466639182 Enrollment ID: I20110607000265 |
Provider Name | Jason Grainer |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124387253 PECOS PAC ID: 1850542754 Enrollment ID: I20121126000493 |
Provider Name | Megan Dunbar |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225469653 PECOS PAC ID: 1759514474 Enrollment ID: I20140505001488 |
Provider Name | Laurie Dupuis |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710370184 PECOS PAC ID: 4183927379 Enrollment ID: I20160121001802 |
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