| NPI | 1154070142 |
|---|---|
| Former Legal Business Name | DUBOIS PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHELITA DUBOIS Psychologist 703-520-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |