Healthcare Provider Details

I. General information

NPI: 1326292376
Provider Name (Legal Business Name): PAULA TURNER MARKHAM PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 11/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEDICAL DR 2ND FLOOR
HAMPTON VA
23666-1765
US

IV. Provider business mailing address

300 MEDICAL DR STE B
HAMPTON VA
23666-1765
US

V. Phone/Fax

Practice location:
  • Phone: 757-788-0300
  • Fax: 757-788-0969
Mailing address:
  • Phone: 757-788-0201
  • Fax: 757-788-0950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810004013
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: