Individual provider · Type 1 NPI

Michelle Sullivan-Gast, PSY.D.

Clinical Psychologist · Fairfax, VA

NPI number 1417227968 Active

Practice location

3040 Williams Dr, Suite 402
Fairfax, VA 22031-4618

Call (703) 573-3573 Map

Fax (703) 573-3574

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810004489 (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 1417227968

Michelle Sullivan-Gast, PSY.D.'s National Provider Identifier is 1417227968, issued on Dec 30, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fairfax, VA. The record was last updated on Dec 30, 2011.