Organization
COLLABORATIVE SUPPORT PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANETA KERN PHD (PSYCHOLOGIST)
(703) 915-3025
Entity
Organization
Contact information
Practice address
1224 BISHOPSGATE WAY, RESTON, VA 20194-1414
(703) 915-3025
Mailing address
1224 BISHOPSGATE WAY, RESTON, VA 20194-1414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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