IndividualActive
Alyssa Poblete, PHD
NPI 1639748510 · Psychologist · Fairfax, VA
Provider details
- NPI number
- 1639748510
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0810006417 (VA)
Mailing address
3813 Rainier Dr
Fairfax, VA 22033-2984
Registry dates
- Enumerated
- 2021-06-23
- Last updated
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.