Individual
DR. MICHELLE RAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP, PSYD, MA
Contact information
Practice address
43803 MICHENER DR, ASHBURN, VA 20147-5807
(703) 443-4924
Mailing address
43803 MICHENER DR, ASHBURN, VA 20147-5807
(443) 937-3183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005315
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810005315
LICENSED CLINICAL PSYCHOLOGIST, VA BOARD OF PSYCHOLOGY
VA
Enumeration date
10/16/2015
Last updated
04/28/2026
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