Unknown Individual – Clinical Psychologist, NPI 1265425771
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3300, Academy Avenue, Village At Western Branch, Churchland, Portsmouth, Virginia, 23703, United States
PORTSMOUTH, VA 237033205
Phone: (757) 483-6404
Fax: (757) 483-0737
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23703)
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