Individual
DR. LISA LILENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 MICHAEL FARADAY DR, SUITE 206, RESTON, VA 20190-5354
(703) 526-5878
(703) 243-8973
Mailing address
2510 BRANDING IRON CT, HERNDON, VA 20171-2947
(703) 526-5878
(703) 243-8973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003795
VA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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