| Wpa | |
|
2200 Opitz Blvd Ste 105b Woodbridge VA 22191-3342 | |
| (703) 491-0042 | |
| (703) 491-9200 |
| Full Name | Wpa |
|---|---|
| Speciality | Psychologist |
| Location | 2200 Opitz Blvd Ste 105b, Woodbridge, Virginia |
| Authorized Official Name and Position | William Joseph Stejskal (PRESIDENT) |
| Authorized Official Contact | 7034910042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wpa 2200 Opitz Blvd Ste 105b Woodbridge VA 22191-3342 Ph: (703) 491-0042 | Wpa 2200 Opitz Blvd Ste 105b Woodbridge VA 22191-3342 Ph: (703) 491-0042 |
| NPI Number | 1457407009 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1052689379 |
|---|---|
| Medicare Enrollment ID | O20170609001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457407009 | NPI | - | NPPES |
| 145747 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810011635 (Virginia) | Primary |
| Provider Name | Brian Lee Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619997855 PECOS PAC ID: 9931128998 Enrollment ID: I20051118000289 |
| Provider Name | Claudia L Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235216771 PECOS PAC ID: 3577726694 Enrollment ID: I20120529000369 |
| Provider Name | Nancy R Giffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841300415 PECOS PAC ID: 3971690702 Enrollment ID: I20170609002216 |
| Provider Name | Jonathan F Deright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366842999 PECOS PAC ID: 6507134772 Enrollment ID: I20170612000714 |
| Provider Name | Katherine C Snably |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922472943 PECOS PAC ID: 9537437736 Enrollment ID: I20170612001985 |
| Provider Name | Rita M Romano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619051950 PECOS PAC ID: 3870861123 Enrollment ID: I20170613000320 |
| Provider Name | Karen M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639239510 PECOS PAC ID: 7719290261 Enrollment ID: I20170613001045 |
| Provider Name | Sahair Kaboli-monfared |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114177003 PECOS PAC ID: 8022389279 Enrollment ID: I20170807000142 |
| Provider Name | Richard H Conner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932651247 PECOS PAC ID: 6204192552 Enrollment ID: I20171102001717 |
| Provider Name | Travis D Flower |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699259812 PECOS PAC ID: 9638416126 Enrollment ID: I20190122001748 |
| Provider Name | Irene A Guya-allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780015990 PECOS PAC ID: 4587037056 Enrollment ID: I20230302003080 |
| Provider Name | Laeli S Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689132557 PECOS PAC ID: 8224480835 Enrollment ID: I20240119000529 |
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