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Organization
RESTON PSYCHOLOGICAL CENTER, P.C.
Active
Organization
RESTON PSYCHOLOGICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNOLD C. SMALL PH.D. (PRESIDENT)
(703) 437-3236
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR, SUITE 411, RESTON, VA 20190-3215
(703) 437-3236
(703) 435-7422
Mailing address
1800 TOWN CENTER DR, SUITE 411, RESTON, VA 20190-3215
(703) 437-3236
(703) 435-7422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071019
ANTHEM BCBS
VA
01
—
351885
NCPPO
VA
Enumeration date
02/20/2007
Last updated
08/22/2020
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