Individual
MS. BETHANY A KOSZELAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAS
Contact information
Practice address
6500 QUANDER RD, ALEXANDRIA, VA 22307-1099
(703) 718-2545
Mailing address
6500 QUANDER RD, ALEXANDRIA, VA 22307-1099
(703) 718-2545
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000834
VA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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