Organization
SKYLINE PSYCHIATRIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN GARGASZ (OFFICE MANAGER)
(703) 575-8101
Entity
Organization
Contact information
Practice address
1500 N BEAUREGARD ST, SUITE 240, ALEXANDRIA, VA 22311-1715
(703) 575-8101
Mailing address
1500 N BEAUREGARD ST, SUITE 240, ALEXANDRIA, VA 22311-1715
(703) 575-8101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093758278
—
VA
Enumeration date
06/14/2006
Last updated
07/02/2010
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