Hampton Roads Psychological Assoc | |
3104 Tyre Neck Rd Portsmouth VA 23703-4512 | |
(757) 484-0616 | |
(757) 484-0618 |
Full Name | Hampton Roads Psychological Assoc |
---|---|
Speciality | Social Worker - Clinical |
Location | 3104 Tyre Neck Rd, Portsmouth, Virginia |
Authorized Official Name and Position | Gregory M Griffin (PRESIDENT) |
Authorized Official Contact | 7574840616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hampton Roads Psychological Assoc 3104 Tyre Neck Rd Portsmouth VA 23703-4512 Ph: (757) 484-0616 | Hampton Roads Psychological Assoc 3104 Tyre Neck Rd Portsmouth VA 23703-4512 Ph: (757) 484-0616 |
NPI Number | 1003058033 |
---|---|
Provider Enumeration Date | 04/06/2009 |
Last Update Date | 06/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003058033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904000811 (Virginia) | Primary |
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