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Individual

DR. GEOFFREY MICHAELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2110 GALLOWS RD # A, SUITE 100, VIENNA, VA 22182-3962
(703) 883-1770
Mailing address
1950 HOPEWOOD DR, FALLS CHURCH, VA 22043-1870
(703) 534-5424

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810001350
VA
103T00000X
Psychologist
PSY1574
DC
103TB0200X
Cognitive & Behavioral Psychologist
0810001350
VA
103TB0200X
Cognitive & Behavioral Psychologist
PSY1574
DC
103TC0700X
Clinical Psychologist
0810001350
VA
103TC0700X
Clinical Psychologist
PSY1574
DC
103TC2200X
Clinical Child & Adolescent Psychologist
0810001350
VA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY1574
DC
103TF0000X
Family Psychologist
0810001350
VA
103TF0000X
Family Psychologist
Primary
PSY1574
DC

Other

Enumeration date
05/17/2007
Last updated
09/11/2025
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