Specialized Psychological Services in Richmond - Clinical

Specialized Psychological Services - NPI 1497708374

Specialized Psychological Services is a Clinical in Richmond, Virginia. Specialized Psychological Services practices all healthcare services and medical treatments related to Clinical. The NPI Number for Specialized Psychological Services is 1497708374. The last update date is 2010-06-16.

Specialized Psychological Services's current location address is 5821 Staples Mill Rd, Richmond, Virginia. You can contact this provider via phone number 8042640966 and fax number 8042641029. The mailing address for Specialized Psychological Services is 5821 Staples Mill Rd, Richmond, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Specialized Psychological Services
Address 5821 Staples Mill Rd, Richmond, Virginia
Phone Number 8042640966
Fax Number 8042641029
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wert Egerton Laura
Credentials PH.D.
Telephone Number 8042640966

NPI Number Detail

NPI Number 1497708374
Provider Enumeration Date 2006-05-19
Last Updated Date 2010-06-16

Provider Mailing Address Detail

Address 5821 Staples Mill Rd
City Richmond
State Virginia (VA)
Post Code 232285427
Phone Number 8042640966
Fax Number 8042641029

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 810001671
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2529 VA VALUE OPTIONS
81163 VA SOUTHERN HEALTH
7712332 VA --
414195 VA OPTIMUM/MDIPA
453170 VA ANTHEM BLUE CROSS/BLUE SH

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FAQs about Specialized Psychological Services

What is the unique 10-digit identifier code issued to Specialized Psychological Services by the Centers for Medicare & Medicaid Services?

The Specialized Psychological Services has been assigned the NPI (National Provider Identifier) 1497708374 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Specialized Psychological Services's facilities are situated?

The facilities of Specialized Psychological Services are physically located at the following address: 5821 Staples Mill Rd, Richmond, VA, 232285427.

What is Specialized Psychological Services's specialized field of practice, and what is the corresponding taxonomy classification code?

The Specialized Psychological Services's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497708374 to Specialized Psychological Services?

The Specialized Psychological Services received its 1497708374 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date were the details related to Specialized Psychological Services most recently updated or revised?

The information pertaining to Specialized Psychological Services, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-16.

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