| Watermark Psychological Services | |
|
821 W 21st St Suite 206 Norfolk VA 23517-1500 | |
| (757) 319-4650 | |
| (757) 644-5065 |
| Full Name | Watermark Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 821 W 21st St, Norfolk, Virginia |
| Authorized Official Name and Position | Lisa Mazzio (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7573194650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watermark Psychological Services 821 W 21st St Suite 206 Norfolk VA 23517-1500 Ph: (757) 319-4650 | Watermark Psychological Services 821 W 21st St Suite 206 Norfolk VA 23517-1500 Ph: (757) 319-4650 |
| NPI Number | 1891191805 |
|---|---|
| Provider Enumeration Date | 11/18/2014 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891191805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701005945 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810004778 (Virginia) | Primary |
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