Provider Demographics
NPI:1164933602
Name:HEALTH PSYCHOLOGY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:HEALTH PSYCHOLOGY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAOJI
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:571-384-6304
Mailing Address - Street 1:5901 KINGSTOWNE VILLAGE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5883
Mailing Address - Country:US
Mailing Address - Phone:571-384-6304
Mailing Address - Fax:571-384-6309
Practice Address - Street 1:5901 KINGSTOWNE VILLAGE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5883
Practice Address - Country:US
Practice Address - Phone:571-384-6304
Practice Address - Fax:571-384-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004960251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health