Organization
THERAPY SERVICES AT THE SQUARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN FISHER PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(703) 330-3105
Entity
Organization
Contact information
Practice address
11198 LEE HWY, STE D2, FAIRFAX, VA 22030-5008
(703) 330-3105
(703) 621-1128
Mailing address
11198 LEE HWY, STE D2, FAIRFAX, VA 22030-5008
(703) 330-3105
(703) 621-1128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
081003919
VA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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