| Commonwealth Psychiatric Assoc Pc | |
|
317 Office Square Ln Ste B102 Virginia Beach VA 23462-3650 | |
| (757) 472-7988 | |
| (757) 961-3573 |
| Full Name | Commonwealth Psychiatric Assoc Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 317 Office Square Ln Ste B102, Virginia Beach, Virginia |
| Authorized Official Name and Position | Susan Strange Devitt (PSYCHIATRIST) |
| Authorized Official Contact | 7574727988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Psychiatric Assoc Pc 1312 Kildeer Ct Virginia Beach VA 23451-4921 Ph: (757) 472-7988 | Commonwealth Psychiatric Assoc Pc 317 Office Square Ln Ste B102 Virginia Beach VA 23462-3650 Ph: (757) 472-7988 |
| NPI Number | 1831371764 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 6406015023 |
|---|---|
| Medicare Enrollment ID | O20120316000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831371764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Susan S Devitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609953488 PECOS PAC ID: 3577722198 Enrollment ID: I20120323000531 |
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