| Charis Institute For Psychological And Family Services | |
|
36 Southgate Ct Suite 102 Harrisonburg VA 22801-9668 | |
| (540) 568-1876 | |
| (540) 574-6076 |
| Full Name | Charis Institute For Psychological And Family Services |
|---|---|
| Speciality | Psychologist |
| Location | 36 Southgate Ct, Harrisonburg, Virginia |
| Authorized Official Name and Position | Randy L Weber (PROVIDER) |
| Authorized Official Contact | 5405681876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Institute For Psychological And Family Services 36 Southgate Ct Suite 102 Harrisonburg VA 22801-9668 Ph: (540) 568-1876 | Charis Institute For Psychological And Family Services 36 Southgate Ct Suite 102 Harrisonburg VA 22801-9668 Ph: (540) 568-1876 |
| NPI Number | 1588733893 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 05/14/2010 |
| Medicare PECOS PAC ID | 0244363562 |
|---|---|
| Medicare Enrollment ID | O20100805001137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588733893 | NPI | - | NPPES |
| 7700482 | Medicaid | VA | |
| 1326146713 | Other | VA | RANDY WEBER, NPI |
| 1275631673 | Other | VA | RONDA WEBER NPI |
| 7708572 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 0810001674 (Virginia) | Primary |
| Provider Name | Randy L Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326146713 PECOS PAC ID: 1052444379 Enrollment ID: I20110428000293 |
| Provider Name | Ronda L Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275631673 PECOS PAC ID: 2961535281 Enrollment ID: I20110428000312 |
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