Healthcare Provider Details

I. General information

NPI: 1447868575
Provider Name (Legal Business Name): OAK HILL PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2579 JOHN MILTON DR STE 210
HERNDON VA
20171-2564
US

IV. Provider business mailing address

2579 JOHN MILTON DR STE 210
HERNDON VA
20171-2564
US

V. Phone/Fax

Practice location:
  • Phone: 703-214-4924
  • Fax: 107-214-4925
Mailing address:
  • Phone: 703-214-4924
  • Fax: 107-214-4925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HAYLEY BETH SHERWOOD
Title or Position: OWNER & CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 703-214-4924