Portia Deneen Rawles in Chesapeake - Clinical

Portia Deneen Rawles - NPI 1639198153

Portia Deneen Rawles is a Clinical in Chesapeake, Virginia. Portia Deneen Rawles practices all healthcare services and medical treatments related to Clinical. The NPI Number for Portia Deneen Rawles is 1639198153. The last update date is 2023-02-16.

Portia Deneen Rawles's current location address is 2010 Old Greenbrier Rd Ste G, Chesapeake, Virginia. You can contact this provider via phone number 7574932912 and fax number 8667306583. The mailing address for Portia Deneen Rawles is 2010 Old Greenbrier Rd Ste G, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Portia Deneen Rawles
Address 2010 Old Greenbrier Rd Ste G, Chesapeake, Virginia
Phone Number 7574932912
Fax Number 8667306583
Sole Proprietor Y
Credentials PSY.D

NPI Number Detail

NPI Number 1639198153
Provider Enumeration Date 2006-07-18
Last Updated Date 2023-02-16

Provider Mailing Address Detail

Address 2010 Old Greenbrier Rd Ste G
City Chesapeake
State Virginia (VA)
Post Code 233202619
Phone Number 7574932912
Fax Number 8667306583

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 3884
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
SC0001033 VA MEDICARE
10177669 VA --
2248507 VA CIGNA
450517829 VA TRI CARE NORTH
7277741 VA AETNA
180317 VA ANTHEM
1639198153 VA VIRGINIA PREMIER
6001245 NC --
085601M VA OPTIMA

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FAQs about Portia Deneen Rawles

What is the unique provider identifier assigned to Portia Deneen Rawles?

The Portia Deneen Rawles has been issued the NPI (National Provider Identifier) 1639198153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Portia Deneen Rawles's physical address?

The Portia Deneen Rawles is physically located at 2010 Old Greenbrier Rd Ste G, in the city of Chesapeake, VA, with the postal code 233202619.

What is Portia Deneen Rawles's specialized field of practice, and what is the corresponding taxonomy classification code?

The Portia Deneen Rawles's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Portia Deneen Rawles receive its 1639198153 assignment from the Centers for Medicare & Medicaid Services?

The Portia Deneen Rawles was assigned its 1639198153 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the details related to Portia Deneen Rawles most recently updated or revised?

The information pertaining to Portia Deneen Rawles, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-16.

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