Organization
ENGEBRETSON PSYCHOLOGY, LLC
Active
Organization
ENGEBRETSON PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TILMER O. ENGEBRETSON PH.D. (OWNER)
(571) 633-0600
Entity
Organization
Contact information
Practice address
7927 JONES BRANCH DR, SUITE #6125, MC LEAN, VA 22102-3322
(571) 633-0600
(703) 992-0993
Mailing address
7927 JONES BRANCH DR, SUITE #6125, MC LEAN, VA 22102-3322
(571) 633-0600
(703) 992-0993
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0810003165
VA
103TC0700X
Clinical Psychologist
Primary
0810003165
VA
103TH0004X
Health Psychologist
0810003165
VA
Other
Enumeration date
01/07/2008
Last updated
01/21/2015
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