Individual
DR. KATHLEEN ANN CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11250 ROGER BACON DR STE 5, RESTON, VA 20190-5202
(571) 299-8616
Mailing address
12150 PURPLE SAGE CT, RESTON, VA 20194-5621
(571) 299-8616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08110005019
LICENSED CLINICAL PSYCHOLOGIST
VA
Enumeration date
08/15/2017
Last updated
08/15/2017
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