| Familyfirst Psychological Services, Pc | |
|
115 Park St Se Suite 207 Vienna VA 22180-4653 | |
| (703) 938-9090 | |
| (703) 938-9091 |
| Full Name | Familyfirst Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 115 Park St Se, Vienna, Virginia |
| Authorized Official Name and Position | Kelly Theis (PRESIDENT) |
| Authorized Official Contact | 7039389090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familyfirst Psychological Services, Pc 115 Park St Se Suite 207 Vienna VA 22180-4653 Ph: (703) 938-9090 | Familyfirst Psychological Services, Pc 115 Park St Se Suite 207 Vienna VA 22180-4653 Ph: (703) 938-9090 |
| NPI Number | 1912214198 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912214198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 0810003318 (Virginia) | Primary |
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