Organization
DULLES PSYCHOLOGICAL SERVICES LLC
Active
Organization
DULLES PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE IBRAHIM PSY.D, (LICENSED PSYCHOLOGIST/OWNER)
(703) 828-7509
Entity
Organization
Contact information
Practice address
21351 GENTRY DR, SUITE 250, STERLING, VA 20166-8510
(703) 828-7509
Mailing address
21351 GENTRY DR, SUITE 250, STERLING, VA 20166-8510
(703) 828-7509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
081004794
VA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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