| Unvaled Psychological Pllc | |
|
420 N Center Dr Ste 239b Norfolk VA 23502-0014 | |
| (757) 282-6309 | |
| (757) 282-6309 |
| Full Name | Unvaled Psychological Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 420 N Center Dr Ste 239b, Norfolk, Virginia |
| Authorized Official Name and Position | Shannon Cutshall (OWNER) |
| Authorized Official Contact | 7572826309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unvaled Psychological Pllc 420 N Center Dr Ste 239b Norfolk VA 23502-0014 Ph: (757) 282-6309 | Unvaled Psychological Pllc 420 N Center Dr Ste 239b Norfolk VA 23502-0014 Ph: (757) 282-6309 |
| NPI Number | 1598275059 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Medicare PECOS PAC ID | 9133508716 |
|---|---|
| Medicare Enrollment ID | O20220628002752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598275059 | NPI | - | NPPES |
| 0810007357 | Other | VA | PHD LICENSE |
| Provider Name | Kari Lannon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013310713 PECOS PAC ID: 9537469853 Enrollment ID: I20151118001135 |
| Provider Name | Shannon Michelle Cutshall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457700379 PECOS PAC ID: 0042625444 Enrollment ID: I20210217001593 |
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