| Commonwealth Psychological Services, Plc | |
|
2322 Blue Stone Hill Dr Suite 280 Harrisonburg VA 22801-5403 | |
| (540) 437-4820 | |
| (540) 437-4823 |
| Full Name | Commonwealth Psychological Services, Plc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2322 Blue Stone Hill Dr, Harrisonburg, Virginia |
| Authorized Official Name and Position | Jessica Lynne Gallaro (OFFICE COORDINATOR) |
| Authorized Official Contact | 5404374820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Psychological Services, Plc 2322 Blue Stone Hill Dr Suite 280 Harrisonburg VA 22801-5403 Ph: (540) 437-4820 | Commonwealth Psychological Services, Plc 2322 Blue Stone Hill Dr Suite 280 Harrisonburg VA 22801-5403 Ph: (540) 437-4820 |
| NPI Number | 1164669966 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164669966 | NPI | - | NPPES |
| 190001472 | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003002 (Virginia) | Primary |
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