| Collaborative Support Psychological Services Pllc | |
|
1224 Bishopsgate Way Reston VA 20194-1414 | |
| (703) 915-3025 | |
| Not Available |
| Full Name | Collaborative Support Psychological Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1224 Bishopsgate Way, Reston, Virginia |
| Authorized Official Name and Position | Aneta Kern (PSYCHOLOGIST) |
| Authorized Official Contact | 7039153025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Support Psychological Services Pllc 1224 Bishopsgate Way Reston VA 20194-1414 Ph: () - | Collaborative Support Psychological Services Pllc 1224 Bishopsgate Way Reston VA 20194-1414 Ph: (703) 915-3025 |
| NPI Number | 1033812045 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033812045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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