| Verdon Pc | |
|
3091 Brickhouse Ct Virginia Beach VA 23452-6860 | |
| (757) 557-6328 | |
| Not Available |
| Full Name | Verdon Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3091 Brickhouse Ct, Virginia Beach, Virginia |
| Authorized Official Name and Position | Daniele P Mcneill (OWNER) |
| Authorized Official Contact | 7573402712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verdon Pc 729 Trio Ln Virginia Beach VA 23452-5931 Ph: (757) 340-2712 | Verdon Pc 3091 Brickhouse Ct Virginia Beach VA 23452-6860 Ph: (757) 557-6328 |
| NPI Number | 1942579693 |
|---|---|
| Provider Enumeration Date | 12/27/2011 |
| Last Update Date | 12/27/2011 |
| Medicare PECOS PAC ID | 1658536594 |
|---|---|
| Medicare Enrollment ID | O20200706000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942579693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810002194 (Virginia) | Primary |
| Provider Name | Danielle Elizabeth Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396849337 PECOS PAC ID: 8022174622 Enrollment ID: I20090305000750 |
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