| Psychological Services Of Virginia | |
|
645 Church St Ste 205 Norfolk VA 23510-1712 | |
| (757) 309-4688 | |
| Not Available |
| Full Name | Psychological Services Of Virginia |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 645 Church St Ste 205, Norfolk, Virginia |
| Authorized Official Name and Position | Laconda Fanning (DIRECTOR) |
| Authorized Official Contact | 7572353751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Virginia 645 Church St Ste 205 Norfolk VA 23510-1712 Ph: (757) 309-4688 | Psychological Services Of Virginia 645 Church St Ste 205 Norfolk VA 23510-1712 Ph: (757) 309-4688 |
| NPI Number | 1205261963 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205261963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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