| Nova Counseling And Psychological Services, Llc | |
|
13895 Hedgewood Dr Ste 313 Woodbridge VA 22193-7927 | |
| (703) 389-1931 | |
| (703) 580-4642 |
| Full Name | Nova Counseling And Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 13895 Hedgewood Dr Ste 313, Woodbridge, Virginia |
| Authorized Official Name and Position | Jason Epstein (OWNER) |
| Authorized Official Contact | 7033891931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Counseling And Psychological Services, Llc 13895 Hedgewood Dr Ste 313 Woodbridge VA 22193-7927 Ph: (703) 389-1931 | Nova Counseling And Psychological Services, Llc 13895 Hedgewood Dr Ste 313 Woodbridge VA 22193-7927 Ph: (703) 389-1931 |
| NPI Number | 1205213659 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/23/2016 |
| Medicare PECOS PAC ID | 6406167774 |
|---|---|
| Medicare Enrollment ID | O20150612002505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205213659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jason Bryan Epstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740388610 PECOS PAC ID: 4385637859 Enrollment ID: I20060413000103 |
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