Organization
POTOMAC BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA MARIE MARINO PHD (DIRECTOR, CEO)
(571) 257-3378
Entity
Organization
Contact information
Practice address
2001 JEFFERSON DAVIS HWY, SUITE 211, ARLINGTON, VA 22202-3603
(571) 257-3378
(571) 257-0906
Mailing address
2001 JEFFERSON DAVIS HWY, SUITE 211, ARLINGTON, VA 22202-3603
(571) 257-3378
(571) 257-0906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004487
VA
103TC0700X
Clinical Psychologist
0810004539
VA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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