Clinical Psychology Services Pc

LBN: Clinical Psychology Services Pc
Clinical Psychology Services Pc is an health care organization with primary practice located at 11130 Fairfax Blvd Ste 305, Fairfax VA 22030-5035. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Clinical Psychology Services Pc can be contacted via phone (703) 691-1326, or through Ruxer, David W via phone (703) 691-1326.

Contact Information

Primary practice address
11130 Fairfax Blvd Ste 305 Fairfax VA 22030-5035
Phone: (703) 691-1326
Fax: (703) 691-3553
Website:
Map and Directions
Authorized official contact:
Name: Ruxer, David W PHD
Phone: (703) 691-1326

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1194818054
LBN Legal business name Clinical Psychology Services Pc
DBA Doing business as
Authorized official Ruxer, David W PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 22nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194818054 NPPES
Virginia MEDICAID 007799195

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