Organization
NORTHERN VIRGINIA PSYCHOLOGY PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN WALL PSYD (CLINICAL PSYCHOLOGIST/OWNER)
(703) 662-3637
Entity
Organization
Contact information
Practice address
1768 BUSINESS CENTER DR STE 360, RESTON, VA 20190-5358
(703) 662-3637
(703) 437-6872
Mailing address
1768 BUSINESS CENTER DR STE 360, RESTON, VA 20190-5358
(703) 662-3637
(571) 926-8404
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
09/13/2021
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