| Psychotherapy Resources Of Norfolk Ltd | |
|
1709 Colley Ave Suite 312 Norfolk VA 23517-1675 | |
| (757) 640-0400 | |
| (757) 640-0497 |
| Full Name | Psychotherapy Resources Of Norfolk Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 1709 Colley Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Betty Alexandra Kedrock (PRESIDENT) |
| Authorized Official Contact | 7576400400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Resources Of Norfolk Ltd 1709 Colley Ave Suite 312 Norfolk VA 23517-1675 Ph: (757) 640-0400 | Psychotherapy Resources Of Norfolk Ltd 1709 Colley Ave Suite 312 Norfolk VA 23517-1675 Ph: (757) 640-0400 |
| NPI Number | 1316947328 |
|---|---|
| Provider Enumeration Date | 08/01/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911993217 |
|---|---|
| Medicare Enrollment ID | O20040422000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316947328 | NPI | - | NPPES |
| 314544 | Other | VA | TRICARE |
| 098384 | Other | VA | BCBS |
| 049956 | Other | VA | BCBS |
| Provider Name | Betty A Kedrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275533796 PECOS PAC ID: 2062408362 Enrollment ID: I20071112000253 |
| Provider Name | Paul F Dell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104826635 PECOS PAC ID: 8123184645 Enrollment ID: I20090309000520 |
| Provider Name | Elizabeth H Gay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730189051 PECOS PAC ID: 4385749951 Enrollment ID: I20120319000056 |
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