Paladin Behavioral And Forensic Services | |
933 First Colonial Rd Suite 203 Virginia Beach VA 23454-3172 | |
(757) 288-9907 | |
(757) 321-6269 |
Full Name | Paladin Behavioral And Forensic Services |
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Speciality | Psychologist - Clinical |
Location | 933 First Colonial Rd, Virginia Beach, Virginia |
Authorized Official Name and Position | James P Polk (OWNER) |
Authorized Official Contact | 7572889907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paladin Behavioral And Forensic Services Po Box 13296 Chesapeake VA 23325-0296 Ph: (757) 714-1838 | Paladin Behavioral And Forensic Services 933 First Colonial Rd Suite 203 Virginia Beach VA 23454-3172 Ph: (757) 288-9907 |
NPI Number | 1376699249 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 06/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376699249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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