Coastal Virginia Psychological Associates

NPI 1164801510 - Psychologist - 103TC0700X

NPI Details
NPI 1164801510
Enumeration Date 05/19/2015
Last Updated 05/19/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ERROL ERROL
Position OWNER
Phone (757) 498-9585
Fax
Practice Location
780 LYNNHAVEN PKWY
SUITE 340
VIRGINIA BEACH VA, 23452-7332, US
Phone (757) 498-9585
Fax
Business Location
780 LYNNHAVEN PKWY
SUITE 340
VIRGINIA BEACH VA, 23452-7332, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Virginia
License Number 0810005191
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According to our database, Coastal Virginia Psychological Associates NPI is 1164801510, taxonomy code is 103TC0700X and license number is 0810005191, license state is located at Virginia. Coastal Virginia Psychological Associates physically located at 780 Lynnhaven Pkwy, Virginia Beach VA, 23452-7332. NPI Number 1033115704 has the healthcare provider type.

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1164801510 NPI number is provided on an as is basis without warranty of any kind. 1164801510 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Virginia Psychological Associates are for informational purposes only.