| Advanced Psychotherapeutics | |
|
1047 Vista Park Dr Ste A Forest VA 24551-4362 | |
| (434) 616-2388 | |
| Not Available |
| Full Name | Advanced Psychotherapeutics |
|---|---|
| Speciality | Psychologist |
| Location | 1047 Vista Park Dr Ste A, Forest, Virginia |
| Authorized Official Name and Position | Timothy H Barclay (DIRECTOR) |
| Authorized Official Contact | 4346162388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychotherapeutics 1047 Vista Park Dr Ste A Forest VA 24551-4362 Ph: (434) 616-2388 | Advanced Psychotherapeutics 1047 Vista Park Dr Ste A Forest VA 24551-4362 Ph: (434) 616-2388 |
| NPI Number | 1053793059 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 01/06/2017 |
| Medicare PECOS PAC ID | 1456776061 |
|---|---|
| Medicare Enrollment ID | O20200729003729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053793059 | NPI | - | NPPES |
| 1972591071 | Other | VA | INDIVIDUAL |
| Provider Name | Timothy H. Barclay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972591071 PECOS PAC ID: 2365867975 Enrollment ID: I20200729003878 |
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