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 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 05/14/2010 |
Medicare PECOS PAC ID | 0244363562 |
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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 |
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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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