| Psychological Works, Llc | |
|
707 Randolph St Suite 101 Radford VA 24141-2443 | |
| (540) 230-5958 | |
| (540) 633-3804 |
| Full Name | Psychological Works, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 707 Randolph St, Radford, Virginia |
| Authorized Official Name and Position | Tracy Cohn (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5402305958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Works, Llc 707 Randolph St Ste 101 Radford VA 24141-2443 Ph: (540) 230-5958 | Psychological Works, Llc 707 Randolph St Suite 101 Radford VA 24141-2443 Ph: (540) 230-5958 |
| NPI Number | 1386950327 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 11/02/2011 |
| Medicare PECOS PAC ID | 9032233895 |
|---|---|
| Medicare Enrollment ID | O20100831000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386950327 | NPI | - | NPPES |
| 1528211901 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0810004007 (Virginia) | Primary |
| Provider Name | Tracy Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528211901 PECOS PAC ID: 5294859054 Enrollment ID: I20100831000393 |
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