Organization
SELF KNOWLEDGE BASE AND FOUNDATION
Active
Organization
SELF KNOWLEDGE BASE AND FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE R RAD LCP, PSYD, MA, APIT (FOUNDER, LICENSED CLINICAL PSYCHOLO)
(443) 937-3183
Entity
Organization
Contact information
Practice address
43803 MICHENER DR, ASHBURN, VA 20147-5807
(703) 443-4924
(703) 775-1560
Mailing address
43803 MICHENER DR, ASHBURN, VA 20147-5807
(443) 937-3183
(571) 999-7201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
04/28/2026
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