Organization
CALDWELL PSYCHOTHERAPY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVID CALDWELL LCSW (MANAGING MEMBER)
(703) 863-6140
Entity
Organization
Contact information
Practice address
1984 ISAAC NEWTON SQ W STE 204, RESTON, VA 20190-5040
(703) 863-6140
Mailing address
1447 ALDENHAM LN, RESTON, VA 20190-3903
(703) 863-6140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
11/12/2021
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