Psychiatric Associates Of The Shenandoah | |
920 Shenandoah Village Drive Suite 124 Waynesboro VA 22980 | |
(540) 932-7800 | |
(540) 932-7191 |
Full Name | Psychiatric Associates Of The Shenandoah |
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Speciality | Social Worker - Clinical |
Location | 920 Shenandoah Village Drive, Waynesboro, Virginia |
Authorized Official Name and Position | Robert H Blinn (SECRETARY TREASURER OWNER) |
Authorized Official Contact | 5049327800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychiatric Associates Of The Shenandoah 920 Shenandoah Village Drive Suite 124 Waynesboro VA 22980 Ph: (540) 932-7800 | Psychiatric Associates Of The Shenandoah 920 Shenandoah Village Drive Suite 124 Waynesboro VA 22980 Ph: (540) 932-7800 |
NPI Number | 1053360263 |
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Provider Enumeration Date | 05/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1053360263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Virginia) | Primary |
103TC0700X | Psychologist - Clinical | (Virginia) | Primary |
1041C0700X | Social Worker - Clinical | (Virginia) | Primary |
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