| Psychiatric & Counseling Center Of Northern Virginia | |
|
9244 Center Street Manassas VA 20110-5551 | |
| (703) 257-8401 | |
| (703) 257-8403 |
| Full Name | Psychiatric & Counseling Center Of Northern Virginia |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9244 Center Street, Manassas, Virginia |
| Authorized Official Name and Position | Teresa L Delawter (PRESIDENT) |
| Authorized Official Contact | 7032578401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric & Counseling Center Of Northern Virginia 9244 Center Street Manassas VA 20110-5551 Ph: (703) 257-8401 | Psychiatric & Counseling Center Of Northern Virginia 9244 Center Street Manassas VA 20110-5551 Ph: (703) 257-8401 |
| NPI Number | 1285793539 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285793539 | NPI | - | NPPES |
| 0600001194 | Other | VA | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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