| Clinical Associates Of Tidewater, P.c. | |
|
6320 N Center Dr Suite 101 Norfolk VA 23502-4009 | |
| (757) 456-0505 | |
| (757) 456-0817 |
| Full Name | Clinical Associates Of Tidewater, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6320 N Center Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Rebecca Dean Reid (PRESIDENT) |
| Authorized Official Contact | 7574560505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Associates Of Tidewater, P.c. 6320 N Center Dr Suite 101 Norfolk VA 23502-4009 Ph: (757) 456-0505 | Clinical Associates Of Tidewater, P.c. 6320 N Center Dr Suite 101 Norfolk VA 23502-4009 Ph: (757) 456-0505 |
| NPI Number | 1124060314 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124060314 | NPI | - | NPPES |
| 8917124 | Medicaid | VA | |
| 6717951 | Medicaid | VA | |
| 7704241 | Medicaid | VA | |
| 7730667 | Medicaid | VA | |
| 216460 | Other | VA | MARK YARHOUSE-ANTHEM |
| 72705 | Other | VA | NANCY PASCHALL-ANTHEM |
| 7702451 | Medicaid | VA | |
| 7761775 | Medicaid | VA | |
| 322713 | Other | VA | FRANK AIELLO,MD - ANTHEM |
| 72702 | Other | VA | REBECCA REID - ANTHEM |
| 93140 | Other | VA | CAROLYN JOHNSON-ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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