Organization
CLINICAL PSYCHOLOGY SERVICES PC
Active
Organization
CLINICAL PSYCHOLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W RUXER PHD (PRESIDENT)
(703) 691-1326
Entity
Organization
Contact information
Practice address
11130 FAIRFAX BLVD, STE 305, FAIRFAX, VA 22030-5035
(703) 691-1326
(703) 691-3553
Mailing address
11130 FAIRFAX BLVD, STE 305, FAIRFAX, VA 22030-5035
(703) 691-1326
(703) 691-3553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007799195
—
VA
Enumeration date
10/02/2006
Last updated
04/22/2013
Update your record
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