# FAMILYFIRST PSYCHOLOGICAL SERVICES, PC

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

## Provider details

- **NPI number:** 1912214198
- **Authorized official:** DR. KELLY THEIS PH.D. (PRESIDENT)
- **Authorized official phone:** (703) 938-9090

## Contact information

- **Practice address:** 115 PARK ST SE, SUITE 207, VIENNA, VA 22180-4653
- **Practice address phone:** (703) 938-9090
- **Practice address fax:** (703) 938-9091
- **Mailing address:** 115 PARK ST SE, SUITE 207, VIENNA, VA 22180-4653
- **Mailing address phone:** (703) 938-9090
- **Mailing address fax:** (703) 938-9091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0810003318 | VA | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 09/08/2010