Healthcare Provider Details

I. General information

NPI: 1588461545
Provider Name (Legal Business Name): MRS. ALLISON J KRUSINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8270 WILLOW OAKS CORPORATE DR FL 3
FAIRFAX VA
22031-4530
US

IV. Provider business mailing address

8270 WILLOW OAKS CORPORATE DR FL 3
FAIRFAX VA
22031-4530
US

V. Phone/Fax

Practice location:
  • Phone: 571-423-4250
  • Fax:
Mailing address:
  • Phone: 571-423-4250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0813001289
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: