DULLES PSYCHOLOGICAL SERVICES LLC NPI 1225400310

NPI Information

  • NPI: 1225400310
  • Provider Name: DULLES PSYCHOLOGICAL SERVICES LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 21351 GENTRY DR
    SUITE 250
    STERLING, VA
    ZIP 20166
  • Phone: (703) 828-7509

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NPI Details

DULLES PSYCHOLOGICAL SERVICES LLC is a clinical psychologist in Sterling, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DULLES PSYCHOLOGICAL SERVICES LLC NPI is 1225400310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21351 GENTRY DR
SUITE 250
STERLING, VA
ZIP 20166-510
Phone: (703) 828-7509

The provider's authorized official is Caroline Ibrahim .
The authorized official title is Licensed Psychologist/owner and has the following contact phone number (703) 828-7509.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 10/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical081004794VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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