Provider Demographics
NPI:1417183666
Name:SIPES, ALLYSON M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:M
Last Name:SIPES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N WAYNE ST
Mailing Address - Street 2:#305
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1818
Mailing Address - Country:US
Mailing Address - Phone:703-401-0279
Mailing Address - Fax:
Practice Address - Street 1:8000 FORBES PL
Practice Address - Street 2:SUITE 201
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-2200
Practice Address - Country:US
Practice Address - Phone:703-401-0279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical