| Reston Psychological Center, P.c. | |
|
1800 Town Center Dr Suite 411 Reston VA 20190-3215 | |
| (703) 437-3236 | |
| (703) 435-7422 |
| Full Name | Reston Psychological Center, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1800 Town Center Dr, Reston, Virginia |
| Authorized Official Name and Position | Arnold C. Small (PRESIDENT) |
| Authorized Official Contact | 7034373236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Psychological Center, P.c. 1800 Town Center Dr Suite 411 Reston VA 20190-3215 Ph: (703) 437-3236 | Reston Psychological Center, P.c. 1800 Town Center Dr Suite 411 Reston VA 20190-3215 Ph: (703) 437-3236 |
| NPI Number | 1013052927 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013052927 | NPI | - | NPPES |
| 351885 | Other | VA | NCPPO |
| 071019 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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