Individual
BRIAN SCOTT WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
11502 OLDE TIVERTON CIR, 305, RESTON, VA 20194-1915
(703) 796-1183
(703) 796-1183
Mailing address
11502 OLDE TIVERTON CIR, 305, RESTON, VA 20194-1915
(703) 796-1183
(703) 796-1183
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0803000220
VA
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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