Organization · Type 2 NPI
Fountain of Life LLC
Clinical Psychologist · Falls Church, VA
Practice location
450 W Broad St Ste 211
Falls Church, VA 22046-3318
Fax (703) 241-1122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 0810002980 (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 1396286019
Fountain of Life LLC's National Provider Identifier is 1396286019, issued on Mar 14, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Falls Church, VA. The record was last updated on Mar 14, 2017.