| NPI | 1114683372 |
|---|---|
| Other Name | SAGEFORTH PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SARAH MAHNAZ VANLANDINGHAM Clinical Director 703-777-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2022-05-17 |