| The Psychotherapy Center | |
|
327 W 21st St 205 Norfolk VA 23517-2130 | |
| (757) 622-9852 | |
| (757) 622-4033 |
| Full Name | The Psychotherapy Center |
|---|---|
| Speciality | Psychologist |
| Location | 327 W 21st St, Norfolk, Virginia |
| Authorized Official Name and Position | Marc D Rabinowitz (MANAGING PARTNER) |
| Authorized Official Contact | 7576229852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psychotherapy Center 327 W 21st St 205 Norfolk VA 23517-2130 Ph: (757) 622-9852 | The Psychotherapy Center 327 W 21st St 205 Norfolk VA 23517-2130 Ph: (757) 622-9852 |
| NPI Number | 1972678464 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 1052372117 |
|---|---|
| Medicare Enrollment ID | O20041021000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972678464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (Virginia) | Primary |
| Provider Name | Susan H Stones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659388924 PECOS PAC ID: 6507886298 Enrollment ID: I20051123000537 |
| Provider Name | Laura G Forman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346322674 PECOS PAC ID: 6204843642 Enrollment ID: I20060309000681 |
| Provider Name | Timothy Cowdery Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447204268 PECOS PAC ID: 3870767304 Enrollment ID: I20111119000073 |
| Provider Name | Phillip Riddick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801272208 PECOS PAC ID: 3173811601 Enrollment ID: I20161014001925 |
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