Hampton Roads Psychological Assoc

NPI 1003058033 - Social Worker - 1041C0700X

NPI Details
NPI 1003058033
Enumeration Date 04/06/2009
Last Updated 06/14/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GREGORY M GREGORY
Position PRESIDENT
Phone (757) 484-0616
Fax (757) 484-0618
Practice Location
3104 TYRE NECK RD
PORTSMOUTH VA, 23703-4512, US
Phone (757) 484-0616
Fax (757) 484-0618
Business Location
3104 TYRE NECK RD
PORTSMOUTH VA, 23703-4512, US
Phone (757) 484-0616
Fax (757) 484-0618
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904000811
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According to our database, Hampton Roads Psychological Assoc NPI is 1003058033, taxonomy code is 1041C0700X and license number is 0904000811, license state is located at Virginia. Hampton Roads Psychological Assoc physically located at 3104 Tyre Neck Rd, Portsmouth VA, 23703-4512. NPI Number 1033115704 has the healthcare provider type.

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1003058033 NPI number is provided on an as is basis without warranty of any kind. 1003058033 is maintained by the National Plan & Provider Enumeration System. The contents of Hampton Roads Psychological Assoc are for informational purposes only.