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Organization

BEVERLY A. BROSKY, PSY.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BEVERLY ANN BROSKY PSY.D. (LICENSED PSYCHOLOGIST)
(703) 550-1140
Entity
Organization

Contact information

Practice address
5021 SEMINARY RD, SUITE 229, ALEXANDRIA, VA 22311-1945
(703) 550-1140
(703) 575-8090
Mailing address
5021 SEMINARY RD, SUITE 229, ALEXANDRIA, VA 22311-1945
(703) 550-1140
(703) 575-8090

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417069493
NPI NUMBER
VA
Enumeration date
12/23/2008
Last updated
12/23/2008
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