Individual
DR. ANITA L BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1200 PRINCE ST, ALEXANDRIA, VA 22314-2936
(703) 299-2422
Mailing address
1200 PRINCE ST, ALEXANDRIA, VA 22314-2936
(703) 299-2422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002181
VA
103TF0200X
Forensic Psychologist
0810002181
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
06/24/2020
Last updated
06/25/2020
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