MEDICARE: MS. KATINA DENICE CHESTER PSYD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	C2505392124
2	342000000X	Transportation Network Company		VA
3	172A00000X	Driver	A62140523	VA
4	343900000X	Non-emergency Medical Transport (VAN)	0057558-004	KS
5	343900000X	Non-emergency Medical Transport (VAN)	A62140523	VA
6	101YP1600X	Pastoral Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588787485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATINA DENICE CHESTER PSYD.

Provider Business Mailing Address
First Line	:	4776 MANDAN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3843
Country	:	US
Telephone Number	:	980-401-2420
Fax Number	:

Provider Business Practice Location Address
First Line	:	4776 MANDAN RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3843
Country	:	US
Telephone Number	:	980-401-2420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2007
Last Update Date	:	11/05/2025

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