Healthcare Provider Details

I. General information

NPI: 1477084630
Provider Name (Legal Business Name): RAMONA BRABSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 03/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 GALBERRY RD
CHESAPEAKE VA
23323-1816
US

IV. Provider business mailing address

3110 GALBERRY RD
CHESAPEAKE VA
23323-1816
US

V. Phone/Fax

Practice location:
  • Phone: 757-513-2287
  • Fax:
Mailing address:
  • Phone: 757-513-2287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number0904008682
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: