Organization · Type 2 NPI
Modern Psychological Services LLC
Adult Mental Health Clinic/Center · Alexandria, VA
NPI number
1902159122
Active
Practice location
6177 Grovedale Ct Ste 100
Alexandria, VA 22310-2553
Fax (703) 924-2374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 0810004653 (VA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1902159122
Modern Psychological Services LLC's National Provider Identifier is 1902159122, issued on Oct 25, 2012. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Alexandria, VA. The record was last updated on Oct 25, 2012.