Individual
NICHOLLE RIANE JOHNSTON MICHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
2915 ADAMS PL, FALLS CHURCH, VA 22042-1946
(509) 850-1014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1695
NM
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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