New Vision | |
1128 London Blvd Portsmouth VA 23704-2246 | |
(757) 399-0418 | |
(757) 393-1059 |
Full Name | New Vision |
---|---|
Speciality | Psychologist - Clinical |
Location | 1128 London Blvd, Portsmouth, Virginia |
Authorized Official Name and Position | Earle Williams (CLINICAL DIRECTOR) |
Authorized Official Contact | 7573931182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Vision 1122 London Blvd Portsmouth VA 23704-2246 Ph: (757) 393-1182 | New Vision 1128 London Blvd Portsmouth VA 23704-2246 Ph: (757) 399-0418 |
NPI Number | 1457715476 |
---|---|
Provider Enumeration Date | 04/06/2016 |
Last Update Date | 04/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457715476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810001748 (Virginia) | Primary |
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