Healthcare Provider Details
I. General information
NPI: 1164618187
Provider Name (Legal Business Name): ANN P VANSKIVER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/24/2007
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1162 PROFESSIONAL DR
WILLIAMSBURG VA
23185-3330
US
IV. Provider business mailing address
1162 PROFESSIONAL DR
WILLIAMSBURG VA
23185-3330
US
V. Phone/Fax
- Phone: 757-345-3100
- Fax: 757-528-8668
- Phone: 757-345-3100
- Fax: 757-528-8668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0200X |
| Taxonomy | Forensic Psychologist |
| License Number | 0810004865 |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 0810004865 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: