Healthcare Provider Details

I. General information

NPI: 1134064207
Provider Name (Legal Business Name): DANIELS PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 MOUNT VERNON AVE STE 125
ALEXANDRIA VA
22301-1328
US

IV. Provider business mailing address

2308 MOUNT VERNON AVE STE 125
ALEXANDRIA VA
22301-1328
US

V. Phone/Fax

Practice location:
  • Phone: 831-227-0398
  • Fax:
Mailing address:
  • Phone: 831-227-0398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ANGEL J WOJCIK
Title or Position: OWNER
Credential: PHD
Phone: 703-286-0406