| Psychological And Life Skills Association | |
|
601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4564 | |
| (703) 490-0336 | |
| Not Available |
| Full Name | Psychological And Life Skills Association |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 601 Jefferson Davis Hwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | Elizabeth Yarborough Taft (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5712851403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological And Life Skills Association 601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4564 Ph: (703) 490-0336 | Psychological And Life Skills Association 601 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4564 Ph: (703) 490-0336 |
| NPI Number | 1992164834 |
|---|---|
| Provider Enumeration Date | 02/21/2016 |
| Last Update Date | 02/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992164834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009260 (Virginia) | Primary |
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