Healthcare Provider Details

I. General information

NPI: 1386767507
Provider Name (Legal Business Name): SALLY SINGER HORWATT, PH.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 TOWN CENTER DR SUITE 216
RESTON VA
20190-3215
US

IV. Provider business mailing address

1800 TOWN CENTER DR SUITE 216
RESTON VA
20190-3215
US

V. Phone/Fax

Practice location:
  • Phone: 703-435-4741
  • Fax: 703-435-5881
Mailing address:
  • Phone: 703-435-4741
  • Fax: 703-435-5881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810000918
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number0810000918
License Number StateVA

VIII. Authorized Official

Name: DR. SALLY SINGER HORWATT
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 703-435-4741