Provider Demographics
NPI:1992841050
Name:DRS. WAYNE AND HELEN REZNICK, P.C.
Entity Type:Organization
Organization Name:DRS. WAYNE AND HELEN REZNICK, P.C.
Other - Org Name:CENTER FOR PSYCHOLOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:REZNICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-379-9520
Mailing Address - Street 1:1225 MARTHA CUSTIS DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-2000
Mailing Address - Country:US
Mailing Address - Phone:703-379-9520
Mailing Address - Fax:
Practice Address - Street 1:1225 MARTHA CUSTIS DR
Practice Address - Street 2:SUITE 2
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-2000
Practice Address - Country:US
Practice Address - Phone:703-379-9520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG00970Medicare ID - Type Unspecified