Lsn Psychological Services, Llc | |
1900 Campus Commons Dr Suite 100 Reston VA 20191-1561 | |
(703) 677-8633 | |
Not Available |
Full Name | Lsn Psychological Services, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1900 Campus Commons Dr, Reston, Virginia |
Authorized Official Name and Position | Leslie Erin Stelljes Nanson (DIRECTOR) |
Authorized Official Contact | 7036778633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lsn Psychological Services, Llc 11760 Sunrise Valley Dr Apt 814 Reston VA 20191-1411 Ph: (703) 677-8633 | Lsn Psychological Services, Llc 1900 Campus Commons Dr Suite 100 Reston VA 20191-1561 Ph: (703) 677-8633 |
NPI Number | 1619415817 |
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Provider Enumeration Date | 02/08/2017 |
Last Update Date | 02/08/2017 |
Identifier | Type | State | Issuer |
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1619415817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810005240 (Virginia) | Primary |
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