Oyster Point Psychological, Inc | |
48 South Main Street Kilmarnock VA 22482-2234 | |
(804) 435-6777 | |
Not Available |
Full Name | Oyster Point Psychological, Inc |
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Speciality | Psychologist |
Location | 48 South Main Street, Kilmarnock, Virginia |
Authorized Official Name and Position | Andrew Jackson Billups (OWNER/PRESIDENT) |
Authorized Official Contact | 8044356777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oyster Point Psychological, Inc 48 South Main Street Box 2234 Kilmarnock VA 22482-2234 Ph: (804) 435-6777 | Oyster Point Psychological, Inc 48 South Main Street Kilmarnock VA 22482-2234 Ph: (804) 435-6777 |
NPI Number | 1821298928 |
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Provider Enumeration Date | 07/18/2007 |
Last Update Date | 07/31/2012 |
Medicare PECOS PAC ID | 6800793043 |
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Medicare Enrollment ID | O20031216000849 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821298928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810001192 (Virginia) | Primary |
Provider Name | Andrew J Billups |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689604027 PECOS PAC ID: 6800793944 Enrollment ID: I20040219001028 |
Diana Jamison Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Office Park Drive, Kilmarnock, VA 22482 Phone: 804-436-9218 Fax: 804-435-6836 | |
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