Collaborative Support Psychological Services Pllc | |
1224 Bishopsgate Way Reston VA 20194-1414 | |
(703) 915-3025 | |
Not Available |
Full Name | Collaborative Support Psychological Services Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1224 Bishopsgate Way, Reston, Virginia |
Authorized Official Name and Position | Aneta Kern (PSYCHOLOGIST) |
Authorized Official Contact | 7039153025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Collaborative Support Psychological Services Pllc 1224 Bishopsgate Way Reston VA 20194-1414 Ph: () - | Collaborative Support Psychological Services Pllc 1224 Bishopsgate Way Reston VA 20194-1414 Ph: (703) 915-3025 |
NPI Number | 1033812045 |
---|---|
Provider Enumeration Date | 03/27/2023 |
Last Update Date | 03/27/2023 |
Certification Date | 03/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033812045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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