Individual
DR. ELENI M BOOSALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8401 DORSEY CIR, SUITE 102, MANASSAS, VA 20110-8303
(703) 408-6142
(703) 656-4868
Mailing address
8401 DORSEY CIR, SUITE 102, MANASSAS, VA 20110-8303
(703) 408-6142
(703) 656-4868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
01/28/2011
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