| Williamsburg Psychiatric Medicine | |
|
460 Mclaws Cir Suite 130 Williamsburg VA 23185-5671 | |
| (757) 253-7651 | |
| (757) 253-7502 |
| Full Name | Williamsburg Psychiatric Medicine |
|---|---|
| Speciality | Psychologist |
| Location | 460 Mclaws Cir, Williamsburg, Virginia |
| Authorized Official Name and Position | Kelly Chun (OWNER) |
| Authorized Official Contact | 7572537651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Psychiatric Medicine 460 Mclaws Cir Suite 130 Williamsburg VA 23185-5671 Ph: (757) 253-7651 | Williamsburg Psychiatric Medicine 460 Mclaws Cir Suite 130 Williamsburg VA 23185-5671 Ph: (757) 253-7651 |
| NPI Number | 1689858359 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/22/2015 |
| Medicare PECOS PAC ID | 3870665995 |
|---|---|
| Medicare Enrollment ID | O20080707000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689858359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0101222292 (Virginia) | Primary |
| Provider Name | Kelly Chun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356456735 PECOS PAC ID: 1456325836 Enrollment ID: I20040823000187 |
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Notice That - Therapy & Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1307 Jamestown Rd Ste 101, Williamsburg, VA 23185 Phone: 757-719-4581 |