Organization
KAREN KINGSLEY, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN KINGSLEY PH.D. (CLINICAL PSYCHOLOGIST)
(703) 723-9404
Entity
Organization
Contact information
Practice address
22563 FOREST MANOR DR, ASHBURN, VA 20148-6900
(703) 723-9404
Mailing address
22563 FOREST MANOR DR, ASHBURN, VA 20148-6900
(703) 723-9404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001562
VA
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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