Organization · Type 2 NPI

Potomac Psychological Center, LLC

Professional Counselor · Ashburn, VA

NPI number 1497984892 Active

Practice location

20925 Professional Plz, Suite 230
Ashburn, VA 20147-3403

Fax (703) 858-9697

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701003403 (VA)
Clinical Psychologist 103TC0700X0810003656 (VA)
Clinical Social Worker 1041C0700X0904004863 (VA)
Psychiatry Physician 2084P0800X0101231051 (VA)
Child & Adolescent Psychiatry Physician 2084P0804X0101241532 (VA)

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About NPI 1497984892

Potomac Psychological Center, LLC's National Provider Identifier is 1497984892, issued on Jul 7, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ashburn, VA. The record was last updated on Jul 7, 2009.