Organization
COURTNEE PELTON, PSY.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEE PELTON PSY.D (CLINICAL PSYCHOLOGIST)
(703) 343-0849
Entity
Organization
Contact information
Practice address
6830 ELM ST, STE. 9, MC LEAN, VA 22101-3874
(703) 343-0849
Mailing address
6830 ELM ST, STE. 9, MC LEAN, VA 22101-3874
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0810004219
VA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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