Individual provider · Type 1 NPI

Glen Allen Chilstrom, PhD

Clinical Psychologist · Alexandria, VA

NPI number 1326027293 Active

Practice location

109 S Fairfax St
Alexandria, VA 22314-3301

Mailing address

1136 Westmoreland Rd
Alexandria, VA 22308-1245

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810001353 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1326027293

Glen Allen Chilstrom, PhD's National Provider Identifier is 1326027293, issued on Jan 10, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Alexandria, VA. The record was last updated on Feb 7, 2012.