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Organization

EXSERVICE MEMBERS PAYING IT FORWARD

Active
Other names
Aurora Psychological Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAYA DESKINS PH.D. (CLINICAL PSYCHOLOGIST)
(703) 679-2539
Entity
Organization

Contact information

Practice address
13000 HARBOR CENTER DR STE 213, WOODBRIDGE, VA 22192-2847
(571) 421-2964
(877) 260-8195
Mailing address
1417 1/2 HULL ST, RICHMOND, VA 23224-3922

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
103TS0200X
School Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730752981
NATIONAL PROVIDER NUMBER
Enumeration date
07/23/2021
Last updated
05/14/2024
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