Individual
ALISA WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1427 GREENMONT CT, RESTON, VA 20190-4043
(202) 957-9889
Mailing address
1427 GREENMONT CT, RESTON, VA 20190-4043
(202) 957-9889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810009090
VA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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