Individual
DR. MICHAEL A BLUESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
924 JAYSMITH STREET, GREAT FALLS, VA 22066-2404
(703) 757-0791
(703) 757-0791
Mailing address
924 JAYSMITH STREET, GREAT FALLS, VA 22066-2404
(703) 757-0791
(703) 757-0791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0811000655
VA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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