Organization
LOUDOUN PSYCHOLOGICAL SERVICES, LLC
Active
Other names
Loudoun Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ZELSDORF PSYD (CHIEF CLINICAL OFFICER)
(703) 297-4368
Entity
Organization
Contact information
Practice address
217 S KING ST, LEESBURG, VA 20175-2905
(703) 297-4368
(571) 512-7955
Mailing address
217 S KING ST, LEESBURG, VA 20175-2905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005246
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104228121
NPI
—
01
—
1194910562
NPI
VA
01
—
1275810764
NPI
—
01
—
1417312257
NPI
—
01
—
1457808818
NPI
—
01
—
1679600266
NPI
—
01
—
1902353360
NPI
—
05
—
600961320
—
VA
05
—
601050065
—
VA
05
—
601076584
—
VA
05
—
601119488
—
VA
Enumeration date
11/16/2015
Last updated
12/05/2018
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