Organization
CONNECTED PSYCHOLOGICAL SERVICES LLC
Active
Organization
CONNECTED PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTE SHOWERS SULC PSYD (CEO)
(571) 276-3113
Entity
Organization
Contact information
Practice address
313 PARK AVE, SUITE 203, FALLS CHURCH, VA 22046-3327
(571) 276-3113
Mailing address
313 PARK AVE, SUITE 203, FALLS CHURCH, VA 22046-3327
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003521
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810003521
VA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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