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CENTRA HEALTH PROFESSIONAL SERVICES LLC NPI 1205864246


NPI Information

NPI: 1205864246
Provider Name: CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Doing Business As: NEONATOLOGY DEVELOPMENTAL CLINIC

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
3300 RIVERMONT AVE
LYNCHBURG, VA
ZIP 24503
Phone: (434) 947-5047
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CENTRA HEALTH PROFESSIONAL SERVICES, LLC is a developmental - behavioral pediatrics pediatrics in Lynchburg, VA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. CENTRA HEALTH PROFESSIONAL SERVICES, LLC NPI is 1205864246. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neonatology Developmental Clinic.

The provider's business location address is:

3300 RIVERMONT AVE
LYNCHBURG, VA
ZIP 24503-030
Phone: (434) 947-5047

The provider's authorized official is Tammy Tweedy .
The authorized official title is Director and has the following contact phone number (434) 947-5047.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 3/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C09704MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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