Greenberg & Associates | |
3628 Boulevard # B Colonial Heights VA 23834-1342 | |
(804) 520-6868 | |
(804) 597-0199 |
Full Name | Greenberg & Associates |
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Speciality | Psychologist |
Location | 3628 Boulevard # B, Colonial Heights, Virginia |
Authorized Official Name and Position | Byron Earle Greenberg (OWNER) |
Authorized Official Contact | 8045206868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Greenberg & Associates 3628 Boulevard # B Colonial Heights VA 23834-1342 Ph: (804) 520-6868 | Greenberg & Associates 3628 Boulevard # B Colonial Heights VA 23834-1342 Ph: (804) 520-6868 |
NPI Number | 1942822051 |
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Provider Enumeration Date | 05/12/2020 |
Last Update Date | 05/20/2024 |
Certification Date | 05/20/2024 |
Medicare PECOS PAC ID | 3971924655 |
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Medicare Enrollment ID | O20200604002263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942822051 | NPI | - | NPPES |
010188903 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Byron E Greenberg |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891869087 PECOS PAC ID: 7113287897 Enrollment ID: I20180130000019 |
Provider Name | Glenice A Burchard |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1225250863 PECOS PAC ID: 4789027194 Enrollment ID: I20240213000497 |
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