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INDIAN RIVER PSYCHOLOGICAL ASSOCIATES P.C. NPI 1316016645


NPI Information

NPI: 1316016645
Provider Name: INDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C.
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
6477 COLLEGE PARK SQ
SUITE 302
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 424-0100
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INDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C. is a cognitive and behavioral psychologist in Virginia Beach, VA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. INDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C. NPI is 1316016645. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6477 COLLEGE PARK SQ
SUITE 302
VIRGINIA BEACH, VA
ZIP 23464-611
Phone: (757) 424-0100
Fax: (757) 424-5623

The provider's authorized official is I. Kimberlee Chucker .
The authorized official title is President and has the following contact phone number (757) 424-0100.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


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
1103TB0200XPsychologistCognitive & BehavioralYes

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: 4/28/2024

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