Provider Demographics
NPI:1215715453
Name:THE SOCIAL SKILLS CENTER, P.C.
Entity type:Organization
Organization Name:THE SOCIAL SKILLS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:T
Authorized Official - Last Name:HALEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:571-285-1403
Mailing Address - Street 1:13885 HEDGEWOOD DRIVE
Mailing Address - Street 2:SUITE 233
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193
Mailing Address - Country:US
Mailing Address - Phone:571-285-1403
Mailing Address - Fax:703-490-4525
Practice Address - Street 1:13885 HEDGEWOOD DRIVE
Practice Address - Street 2:SUITE 233
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193
Practice Address - Country:US
Practice Address - Phone:571-285-1403
Practice Address - Fax:703-490-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty