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General NPI Number Information
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NPI Number | 1962440495
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Entity Type | Organization
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Legal Business Name | VIRGINIA PSYCHOLOGICAL SERVICES PLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 732 THIMBLE SHOALS BLVD STE 705K
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4256
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Country | US
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Telephone | 757-873-4744
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Fax | 757-873-6377
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Provider Business Mailing Address
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Address Line | PO BOX 12225
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City | NEWPORT NEWS
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State | VA
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Zip | 23612-2225
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Country | US
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Telephone | 757-873-4744
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Fax | 757-873-6377
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Authorized Official
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Title or Position | PSYCOLOGIST, OWNER
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Name | DR. CHRISTOPHER M. LINDEMANN
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Credential | PH.D.
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Telephone | 757-873-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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