| Boosalis Psychological Services | |
|
8401 Dorsey Cir Suite 102 Manassas VA 20110-8303 | |
| (703) 408-6142 | |
| (703) 656-4868 |
| Full Name | Boosalis Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8401 Dorsey Cir, Manassas, Virginia |
| Authorized Official Name and Position | Eleni Maria Boosalis (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7034086142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boosalis Psychological Services 8401 Dorsey Cir Suite 102 Manassas VA 20110-8303 Ph: (703) 408-6142 | Boosalis Psychological Services 8401 Dorsey Cir Suite 102 Manassas VA 20110-8303 Ph: (703) 408-6142 |
| NPI Number | 1528364130 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528364130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003954 (Virginia) | Primary |
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