Organization
SAGEFORTH PSYCHOLOGICAL SERVICES, LLC
Active
Other names
SageForth Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH MAHNAZ VANLANDINGHAM PSYD (CLINICAL DIRECTOR)
(703) 777-7755
Entity
Organization
Contact information
Practice address
552 FORT EVANS RD STE 206, LEESBURG, VA 20176-3378
(703) 777-7755
Mailing address
552 FORT EVANS RD STE 206, LEESBURG, VA 20176-3378
(703) 777-7755
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
11/11/2021
Last updated
05/17/2022
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