Organization
BOOSALIS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENI MARIA BOOSALIS PSY.D. (CLINICAL PSYCHOLOGIST)
(703) 408-6142
Entity
Organization
Contact information
Practice address
8401 DORSEY CIR, SUITE 102, MANASSAS, VA 20110-8303
(703) 408-6142
(703) 656-4868
Mailing address
8401 DORSEY CIR, SUITE 102, MANASSAS, VA 20110-8303
(703) 408-6142
(703) 656-4868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003954
VA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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