Adelia Gregoire Llc | |
6126 Studeley Ave Norfolk VA 23508-1032 | |
(757) 423-1266 | |
Not Available |
Full Name | Adelia Gregoire Llc |
---|---|
Speciality | Psychologist |
Location | 6126 Studeley Ave, Norfolk, Virginia |
Authorized Official Name and Position | Adelia Furr Gregoire (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7574231266 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Adelia Gregoire Llc 6126 Studeley Ave Norfolk VA 23508-1032 Ph: (757) 423-1266 | Adelia Gregoire Llc 6126 Studeley Ave Norfolk VA 23508-1032 Ph: (757) 423-1266 |
NPI Number | 1033666409 |
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Provider Enumeration Date | 09/02/2016 |
Last Update Date | 09/02/2016 |
Medicare PECOS PAC ID | 4486932076 |
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Medicare Enrollment ID | O20161102001733 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033666409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 081000263 (Virginia) | Primary |
Provider Name | Adelia F Gregoire |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831108836 PECOS PAC ID: 0446251367 Enrollment ID: I20070119000393 |
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