Provider Demographics
NPI:1598735326
Name:KOHLS, DAVID A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:KOHLS
Suffix:
Gender:M
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:PO BOX 4473
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-0473
Mailing Address - Country:US
Mailing Address - Phone:571-338-4488
Mailing Address - Fax:
Practice Address - Street 1:4141 N HENDERSON RD
Practice Address - Street 2:PLAZA LEVEL SUITE 3
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2486
Practice Address - Country:US
Practice Address - Phone:571-338-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2014-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003893103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical