| Peninsula Psychotherapy Center | |
|
306 High Point Rd Williamsburg VA 23185-5847 | |
| (757) 903-3284 | |
| Not Available |
| Full Name | Peninsula Psychotherapy Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 306 High Point Rd, Williamsburg, Virginia |
| Authorized Official Name and Position | Amaya A. Rucker (DIRECTOR) |
| Authorized Official Contact | 7579033284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Psychotherapy Center 306 High Point Rd Williamsburg VA 23185-5847 Ph: (757) 903-3284 | Peninsula Psychotherapy Center 306 High Point Rd Williamsburg VA 23185-5847 Ph: (757) 903-3284 |
| NPI Number | 1285960377 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 10/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285960377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004168 (Virginia) | Primary |
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