Organization
RISA E. SANDERS, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RISA E SANDERS PH.D. (CLINICAL PSYCHOLOGIST/ OWNER)
(703) 919-1959
Entity
Organization
Contact information
Practice address
1313 VINCENT PL, MC LEAN, VA 22101-3615
(703) 919-1959
Mailing address
1313 VINCENT PL, MC LEAN, VA 22101-3615
(703) 919-1959
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063652253
INDIVIDUAL NPI
—
Enumeration date
04/18/2014
Last updated
04/18/2014
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