| Hampton Road Family Service Inc. | |
|
1000 Leckie St Portsmouth VA 23704-1904 | |
| (757) 399-4742 | |
| Not Available |
| Full Name | Hampton Road Family Service Inc. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1000 Leckie St, Portsmouth, Virginia |
| Authorized Official Name and Position | Sandra Pinnock (PRESIDENT) |
| Authorized Official Contact | 7576447025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Road Family Service Inc. 1000 Leckie St Portsmouth VA 23704-1904 Ph: (757) 399-4742 | Hampton Road Family Service Inc. 1000 Leckie St Portsmouth VA 23704-1904 Ph: (757) 399-4742 |
| NPI Number | 1669782033 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669782033 | NPI | - | NPPES |
| 1003141227 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 0701004522 (Virginia) | Primary |
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