Ballston Psychology, Pllc | |
4141 N Henderson Rd Plaza Level, Suite 3 Arlington VA 22203-2486 | |
(571) 338-4488 | |
Not Available |
Full Name | Ballston Psychology, Pllc |
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Speciality | Psychologist - Clinical |
Location | 4141 N Henderson Rd, Arlington, Virginia |
Authorized Official Name and Position | David A Kohls (OWNER) |
Authorized Official Contact | 5713384488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ballston Psychology, Pllc Po Box 4473 Falls Church VA 22044-0473 Ph: (571) 338-4488 | Ballston Psychology, Pllc 4141 N Henderson Rd Plaza Level, Suite 3 Arlington VA 22203-2486 Ph: (571) 338-4488 |
NPI Number | 1215327309 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
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1215327309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 0810003893 (Virginia) | Primary |
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