| Providence Consulting And Clinical Services | |
|
1000 Regent University Dr Crb 161 Virginia Beach VA 23464-5037 | |
| (757) 348-8680 | |
| Not Available |
| Full Name | Providence Consulting And Clinical Services |
|---|---|
| Speciality | Psychologist |
| Location | 1000 Regent University Dr, Virginia Beach, Virginia |
| Authorized Official Name and Position | Mark A Yarhouse (PRESIDENT) |
| Authorized Official Contact | 7573488680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Consulting And Clinical Services 1989 Blue Knob Rd Virginia Beach VA 23464-7435 Ph: (757) 348-8680 | Providence Consulting And Clinical Services 1000 Regent University Dr Crb 161 Virginia Beach VA 23464-5037 Ph: (757) 348-8680 |
| NPI Number | 1396078069 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 09/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396078069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0810000366 (Virginia) | Primary |
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