Organization
EXSERVICE MEMBERS PAYING IT FORWARD
Active
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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