Individual
DR. PAULA BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10875 MAIN ST, STE 206, FAIRFAX, VA 22030-4732
(703) 591-8263
Mailing address
10875 MAIN ST, STE 206, FAIRFAX, VA 22030-4732
(703) 591-8263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000867
VA
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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