Organization
CLINICAL PSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM RUXER PH.D. (CLINICAL PSYCHOLOGIST)
(703) 691-1326
Entity
Organization
Contact information
Practice address
11130 FAIRFAX BLVD, ST. 305, FAIRFAX, VA 22030-5035
(703) 691-1326
Mailing address
11130 FAIRFAX BLVD, ST. 305, FAIRFAX, VA 22030-5035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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