| Evolution Psychological Services, Pc | |
|
13885 Hedgewood Dr Suite 349 Woodbridge VA 22193-7928 | |
| (703) 317-7271 | |
| Not Available |
| Full Name | Evolution Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 13885 Hedgewood Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Reginald Henry Mcrae (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7033177271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Psychological Services, Pc 2465 Donnington Ct Jeffersonton VA 22724-1730 Ph: (540) 937-7676 | Evolution Psychological Services, Pc 13885 Hedgewood Dr Suite 349 Woodbridge VA 22193-7928 Ph: (703) 317-7271 |
| NPI Number | 1679019608 |
|---|---|
| Provider Enumeration Date | 01/14/2017 |
| Last Update Date | 01/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679019608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004799 (Virginia) | Primary |
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