| Genesis Psychological Services, Llc | |
|
142 W York St Suite 718 Norfolk VA 23510-2015 | |
| (757) 626-0032 | |
| (757) 626-0019 |
| Full Name | Genesis Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 142 W York St, Norfolk, Virginia |
| Authorized Official Name and Position | Tasha Simmons (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7576260332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Psychological Services, Llc 142 W York St Suite 718 Norfolk VA 23510-2015 Ph: (757) 626-0032 | Genesis Psychological Services, Llc 142 W York St Suite 718 Norfolk VA 23510-2015 Ph: (757) 626-0032 |
| NPI Number | 1184948655 |
|---|---|
| Provider Enumeration Date | 03/26/2010 |
| Last Update Date | 03/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184948655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0810004002 (Virginia) | Primary |
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