| My Psychiatrist Reston, Plc | |
|
12359 Sunrise Valley Dr Ste 320 Reston VA 20191-3463 | |
| (035) 964-7967 | |
| Not Available |
| Full Name | My Psychiatrist Reston, Plc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12359 Sunrise Valley Dr Ste 320, Reston, Virginia |
| Authorized Official Name and Position | Madan Uprety (MEMBER) |
| Authorized Official Contact | 7035964796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Psychiatrist Reston, Plc 12359 Sunrise Valley Dr Ste 320 Reston VA 20191-3463 Ph: (703) 596-4796 | My Psychiatrist Reston, Plc 12359 Sunrise Valley Dr Ste 320 Reston VA 20191-3463 Ph: (035) 964-7967 |
| NPI Number | 1144976655 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144976655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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