Nisco Psychological Services Pllc | |
21351 Gentry Dr Ste 250 Sterling VA 20166-8514 | |
(037) 279-7297 | |
(703) 421-9946 |
Full Name | Nisco Psychological Services Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 21351 Gentry Dr Ste 250, Sterling, Virginia |
Authorized Official Name and Position | Tina Demeo (ADMINSITRATOR) |
Authorized Official Contact | 7035818670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nisco Psychological Services Pllc 21351 Gentry Dr Ste 250 Sterling VA 20166-8514 Ph: (703) 727-9729 | Nisco Psychological Services Pllc 21351 Gentry Dr Ste 250 Sterling VA 20166-8514 Ph: (037) 279-7297 |
NPI Number | 1174236343 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 01/03/2023 |
Certification Date | 01/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174236343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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