Dr. Eleni M Boosalis, PsyD
Psychologist in Manassas, VA. Individual provider (NPI-1).
NPI number1982873261
StatusActive
Last updated in NPPESJan 28, 2011
Details
- NPI
- 1982873261
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eleni M Boosalis
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2008
- Last updated
- Jan 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
8401 Dorsey CirSuite 102
Manassas, VA 20110-8303
Phone 703-408-6142 · Fax 703-656-4868
Mailing address
8401 Dorsey CirSuite 102
Manassas, VA 20110-8303
Phone 703-408-6142 · Fax 703-656-4868
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