Individual
DR. CAROL RUTH SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1725 N GEORGE MASON DR, ARLINGTON, VA 22205-3675
(703) 228-4872
(703) 228-5234
Mailing address
1725 N GEORGE MASON DR, ARLINGTON, VA 22205-3675
(703) 228-4872
(703) 228-5234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945042
—
VA
Enumeration date
01/02/2007
Last updated
07/09/2007
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