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Organization

CS PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARI SHORT PSY.D. (OWNER/LICENSED CLINICAL PSYCHOLOGIS)
(571) 389-4639
Entity
Organization

Contact information

Practice address
7001 HERITAGE VILLAGE PLZ STE 230, GAINESVILLE, VA 20155-3095
(571) 389-4639
Mailing address
7001 HERITAGE VILLAGE PLZ STE 230, GAINESVILLE, VA 20155-3095
(571) 389-4639

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005234
VA

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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