| Psychological Consulting Resources, Pllc | |
|
1 Columbus Ctr Suite 600 Virginia Beach VA 23462-6722 | |
| (757) 333-7501 | |
| (757) 490-7804 |
| Full Name | Psychological Consulting Resources, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Columbus Ctr, Virginia Beach, Virginia |
| Authorized Official Name and Position | Brian K Wald (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7573337501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consulting Resources, Pllc 1 Columbus Ctr Suite 600 Virginia Beach VA 23462-6722 Ph: (757) 333-7501 | Psychological Consulting Resources, Pllc 1 Columbus Ctr Suite 600 Virginia Beach VA 23462-6722 Ph: (757) 333-7501 |
| NPI Number | 1316231814 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 08/05/2011 |
| Medicare PECOS PAC ID | 1850578543 |
|---|---|
| Medicare Enrollment ID | O20110606000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316231814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810001650 (Virginia) | Primary |
| Provider Name | Brian K Wald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093787970 PECOS PAC ID: 5890828164 Enrollment ID: I20100806000584 |
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