Kimberly Strand, PHD | |
2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 | |
(703) 490-0336 | |
(703) 490-4525 |
Full Name | Kimberly Strand |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 2239f Tacketts Mill Dr, Lake Ridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306931126 | NPI | - | NPPES |
23570013 | Other | VA | CAREFIRST |
275694 | Other | VA | ANTHEM BCBC |
222478 | Other | VA | KAISER PERMANENTE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810003056 (Virginia) | Primary |
Entity Name | Psychological And Life Skills Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619066727 PECOS PAC ID: 4688661838 Enrollment ID: O20040428001567 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Strand, PHD 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Ph: (703) 490-0336 | Kimberly Strand, PHD 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Ph: (703) 490-0336 |
Dr. Bita Kianimanesh, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Dr, Lake Ridge, VA 22192 Phone: 703-490-0336 | |
Donna L Price, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Phone: 703-490-0336 Fax: 703-490-4525 | |
Stephanie Fellenberg, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192 Phone: 703-490-0336 Fax: 703-490-4525 | |
Matthew Stuart Broudy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2239f Tacketts Mill Drive, Lake Ridge, VA 22192 Phone: 703-490-0336 Fax: 703-490-4525 | |
Dr. Karen Deabbe Bagley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2227 Old Bridge Rd Ste 170, Lake Ridge, VA 22192 Phone: 571-412-3500 Fax: 571-412-3600 |