Individual
DR. DANIEL STARK DINSMOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
11150 SUNSET HILLS RD, SUITE 150, RESTON, VA 20190-5360
(703) 471-5517
Mailing address
11150 SUNSET HILLS RD, SUITE 150, RESTON, VA 20190-5360
(703) 471-5517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002912
VA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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