Integrated Behavioral Health Care

NPI 1114341765 - Psychologist - 103T00000X

NPI Details
NPI 1114341765
Enumeration Date 02/18/2014
Last Updated 02/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MELISSA ANN MELISSA
Position OFFICE / OPERATIONS MANAGER
Phone (757) 232-5062
Fax
Practice Location
1153 TAYLOR RD
VIRGINIA BEACH VA, 23464-4081, US
Phone (757) 232-5062
Fax
Business Location
1153 TAYLOR RD
VIRGINIA BEACH VA, 23464-4081, US
Phone (757) 232-5062
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Missouri
License Number 0810004863
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According to our database, Integrated Behavioral Health Care NPI is 1114341765, taxonomy code is 103T00000X and license number is 0810004863, license state is located at Missouri. Integrated Behavioral Health Care physically located at 1153 Taylor Rd, Virginia Beach VA, 23464-4081. NPI Number 1033115704 has the healthcare provider type.

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1114341765 NPI number is provided on an as is basis without warranty of any kind. 1114341765 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Behavioral Health Care are for informational purposes only.