Provider Demographics
NPI:1942609938
Name:PSYCHOLOGICAL ASSESSMENT SOLUTIONS
Entity Type:Organization
Organization Name:PSYCHOLOGICAL ASSESSMENT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLEITAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:703-200-4193
Mailing Address - Street 1:641 S STREET NW
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001
Mailing Address - Country:US
Mailing Address - Phone:703-200-4193
Mailing Address - Fax:
Practice Address - Street 1:641 S STREET NW
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001
Practice Address - Country:US
Practice Address - Phone:703-200-4193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000395103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty