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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN ALLEN CHILSTROM, PH.D.

Active Sole Proprietor

DR. GLEN ALLEN CHILSTROM, PH.D. is a Clinical Psychologist healthcare provider located in ALEXANDRIA, Virginia. NPI 1326027293 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ALEXANDRIA, VA

Registration Details

NPI Number
1326027293
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2006 (20.408990175674 yrs)
Last Updated
Feb 7, 2012
License
0810001353 (VA)
Sole Proprietor
Yes

Practice Information

Address
109 S FAIRFAX ST
ALEXANDRIA, VA, 223143301
Browse VA providers · Browse ZIP 22314
Phone
7037656085
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in ALEXANDRIA, VA

Name Credential NPI
THOMAS JEFFREY NEAL PHD 1174593412
DR. MONA SULEMAN PSY.D 1588622161
CHRISTINA RALPH PH.D 1104879188
DR. JUDITH MAE RUMREICH PH.D. 1013950773
DR. EUGENE A. SHOOTER, JR. PH.D. 1720024821
DR. REBECCA A HECHT-LEWIS PHD 1245263706
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.