Provider Demographics
NPI:1134457138
Name:BUSSELL, DANIELLE ADLESTEIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ADLESTEIN
Last Name:BUSSELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PIDGEON HILL DRIVE
Mailing Address - Street 2:SUITE 200 IN STEP WEST
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165
Mailing Address - Country:US
Mailing Address - Phone:703-433-5771
Mailing Address - Fax:703-433-5773
Practice Address - Street 1:6 PIDGEON HILL DRIVE
Practice Address - Street 2:SUITE 200 IN STEP WEST
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165
Practice Address - Country:US
Practice Address - Phone:703-433-5771
Practice Address - Fax:703-433-5773
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002798103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical