| Virginia Psychological Solutions Pllc | |
|
4339 Andes Dr Fairfax VA 22030-5360 | |
| (703) 673-7113 | |
| Not Available |
| Full Name | Virginia Psychological Solutions Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4339 Andes Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Susan Alice Etkind (OWNER) |
| Authorized Official Contact | 7036737113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Psychological Solutions Pllc 10332 Main St # 282 Fairfax VA 22030-2410 Ph: (301) 312-1003 | Virginia Psychological Solutions Pllc 4339 Andes Dr Fairfax VA 22030-5360 Ph: (703) 673-7113 |
| NPI Number | 1285371781 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 8628459658 |
|---|---|
| Medicare Enrollment ID | O20220721001491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285371781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| Provider Name | Susan A Etkind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548585334 PECOS PAC ID: 9335366574 Enrollment ID: I20140811002561 |
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