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Contact Information

SPORT PSYCHS LLC
8401 GREENSBORO DR STE 550
MCLEAN, VA22102-5146
 Phone: 703-679-8249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SPORT PSYCHS LLC · (Female)

NPI # 1023840329
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2024
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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