Individual
DR. GEORGIANNA M ACHILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
441 CARLISLE DR STE B200, HERNDON, VA 20170-4366
(703) 464-7017
Mailing address
441 CARLISLE DR STE B200, HERNDON, VA 20170-4366
(703) 464-7017
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0810003856
VA
103TC0700X
Clinical Psychologist
0810003856
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810003856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024294500001
—
PA
Enumeration date
12/18/2007
Last updated
02/14/2025
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