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Organization

BALLSTON PSYCHOLOGY, PLLC

Active
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Organization

BALLSTON PSYCHOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A KOHLS PSYD (OWNER)
(571) 338-4488
Entity
Organization

Contact information

Practice address
4141 N HENDERSON RD, PLAZA LEVEL, SUITE 3, ARLINGTON, VA 22203-2486
(571) 338-4488
Mailing address
PO BOX 4473, FALLS CHURCH, VA 22044-0473
(571) 338-4488

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003893
VA

Other

Enumeration date
01/28/2015
Last updated
01/28/2015
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