Audiovisual Healthcare Services Llc | |
3559 Plum Dale Dr Fairfax VA 22033-1250 | |
(703) 517-9593 | |
Not Available |
Full Name | Audiovisual Healthcare Services Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 3559 Plum Dale Dr, Fairfax, Virginia |
Authorized Official Name and Position | Larry A. Besterman (PRESIDENT) |
Authorized Official Contact | 7035179593 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Audiovisual Healthcare Services Llc 3559 Plum Dale Dr Fairfax VA 22033-1250 Ph: (703) 517-9593 | Audiovisual Healthcare Services Llc 3559 Plum Dale Dr Fairfax VA 22033-1250 Ph: (703) 517-9593 |
NPI Number | 1215187281 |
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Provider Enumeration Date | 09/25/2008 |
Last Update Date | 04/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215187281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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