| Lifespan Psychological Services | |
|
5250 Cherokee Ave Suite 411 Alexandria VA 22312-2052 | |
| (703) 596-9476 | |
| Not Available |
| Full Name | Lifespan Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 5250 Cherokee Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Christina Ralph (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7035969476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Psychological Services Po Box 9252 Reston VA 20195-3152 Ph: (703) 596-9476 | Lifespan Psychological Services 5250 Cherokee Ave Suite 411 Alexandria VA 22312-2052 Ph: (703) 596-9476 |
| NPI Number | 1285979328 |
|---|---|
| Provider Enumeration Date | 11/30/2012 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285979328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0810003847 (Virginia) | Primary |
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