Chase Psychological Resources, Inc.

NPI #1063696466 in Fairfax, Virginia

Provider Information

NPI Number: 1063696466
Entity Type: Organization
Organization Name: Chase Psychological Resources, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 20, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 10721 MAIN ST
Address 2: SUITE 2350
City: Fairfax
State: Virginia
ZIP Code: 22030-6914
Phone: (703) 591-5912

Authorized Official

Name: DR. LEE R CHASE, PH.D.
Title: PSYCHOLOGIST/PRESIDENT
Phone: (301) 325-5043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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