Healthcare Provider Details

I. General information

NPI: 1982718284
Provider Name (Legal Business Name): HAMPTON ROADS NEUROPSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 HILLTOP WEST EXECUTIVE CENTER SUITE 216
VIRGINIA BEACH VA
23451
US

IV. Provider business mailing address

1604 HILLTOP WEST EXECUTIVE CENTER SUITE 216
VIRGINIA BEACH VA
23451
US

V. Phone/Fax

Practice location:
  • Phone: 757-498-9585
  • Fax: 757-468-1685
Mailing address:
  • Phone: 757-498-9585
  • Fax: 757-468-1685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: SCOTT W SAUTTER
Title or Position: OWNER/DIRECTOR
Credential: PH.D
Phone: 757-498-9585