Provider Demographics
NPI:1982792917
Name:NEW HORIZONS PSYCHOLOGICAL SERVICES INC
Entity Type:Organization
Organization Name:NEW HORIZONS PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-292-3994
Mailing Address - Street 1:5045 BACKLICK ROAD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6045
Mailing Address - Country:US
Mailing Address - Phone:703-914-1082
Mailing Address - Fax:703-914-3920
Practice Address - Street 1:5045 BACKLICK ROAD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6045
Practice Address - Country:US
Practice Address - Phone:703-914-1082
Practice Address - Fax:703-914-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty