| Dulles Psychological Services Llc | |
|
21351 Gentry Dr Suite 250 Sterling VA 20166-8510 | |
| (703) 828-7509 | |
| Not Available |
| Full Name | Dulles Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21351 Gentry Dr, Sterling, Virginia |
| Authorized Official Name and Position | Caroline Ibrahim (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7038287509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Psychological Services Llc 21351 Gentry Dr Suite 250 Sterling VA 20166-8510 Ph: (703) 828-7509 | Dulles Psychological Services Llc 21351 Gentry Dr Suite 250 Sterling VA 20166-8510 Ph: (703) 828-7509 |
| NPI Number | 1225400310 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225400310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 081004794 (Virginia) | Primary |
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