# SPORT PSYCHS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023840329
- **Authorized official:** SABRINA JENNINGS PHD (CO-OWNER/ SPORT PSYCHOLOGIST)
- **Authorized official phone:** (516) 476-4065

## Contact information

- **Practice address:** 8401 GREENSBORO DR STE 550, MC LEAN, VA 22102-5146
- **Practice address phone:** (703) 679-8249
- **Mailing address:** 8401 GREENSBORO DR STE 550, MC LEAN, VA 22102-5146
- **Mailing address phone:** (703) 679-8249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TE1100X | Exercise & Sports Psychologist | — | NULL | Yes |
| 103TE1100X | Exercise & Sports Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/15/2024