Individual
DR. GAZALA ABULHASAN ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2331 MILL RD, SUITE 100, ALEXANDRIA, VA 22314-4677
(703) 224-8983
(703) 224-8801
Mailing address
2331 MILL RD, SUITE 100, ALEXANDRIA, VA 22314-4677
(703) 224-8983
(703) 224-8801
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810004131
VA
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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