Organization
LIFESPAN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA RALPH PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(703) 596-9476
Entity
Organization
Contact information
Practice address
5250 CHEROKEE AVE, SUITE 411, ALEXANDRIA, VA 22312-2052
(703) 596-9476
Mailing address
PO BOX 9252, RESTON, VA 20195-3152
(703) 596-9476
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810003847
VA
Other
Enumeration date
11/30/2012
Last updated
03/09/2015
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