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General NPI Number Information
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NPI Number | 1083192579
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL WELLNESS SERVICES, PLLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1489 CHAIN BRIDGE RD STE 300
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City | MC LEAN
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State | VA
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Zip | 22101-5724
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Country | US
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Telephone | 203-819-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 1489 CHAIN BRIDGE RD STE 300
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City | MC LEAN
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State | VA
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Zip | 22101-5724
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Country | US
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Telephone | 203-819-7782
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COURTNEY FREIMAN
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Credential | PSY.D., LCP
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Telephone | 203-470-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810005064
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License Number State | VA
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