is a Clinical in Winchester, Virginia. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1831201003. The last update date is .
's current location address is 801 S Lovdovn Street, Winchester, Virginia. You can contact this provider via phone number 5406675431 and fax number 5406672855. The mailing address for is 801 S Lovdovn Street, Winchester, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 801 S Lovdovn Street, Winchester, Virginia |
| Phone Number | 5406675431 |
| Fax Number | 5406672855 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831201003 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 801 S Lovdovn Street |
|---|---|
| City | Winchester |
| State | Virginia (VA) |
| Post Code | 22601 |
| Phone Number | 5406675431 |
| Fax Number | 5406672855 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810002997 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188969 | ANTHEM BCBS | ||
| 83436 | COMMUNITY HEALTH |
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