Organization
CHASE PSYCHOLOGICAL RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE R CHASE PH.D. (PSYCHOLOGIST/PRESIDENT)
(301) 325-5043
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE 2350, FAIRFAX, VA 22030-6914
(703) 591-5912
(703) 591-7210
Mailing address
327 CHESTERTOWN ST, GAITHERSBURG, MD 20878-5686
(301) 325-5043
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
03341
MD
103TC0700X
Clinical Psychologist
Primary
0810002159
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588702047
NPI
MD
01
—
1861493520
NPI
MD
Enumeration date
12/20/2007
Last updated
12/20/2007
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