Clinical Psychology Services

NPI #1184034779 in Fairfax, Virginia

Provider Information

NPI Number: 1184034779
Entity Type: Organization
Organization Name: Clinical Psychology Services
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 5, 2014
Last Updated: May 5, 2014

Practice Location

Address: 11130 FAIRFAX BLVD
Address 2: ST. 305
City: Fairfax
State: Virginia
ZIP Code: 22030-5035
Phone: (703) 691-1326

Authorized Official

Name: DAVID WILLIAM RUXER, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (703) 691-1326

Specialties & Taxonomy Codes

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

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