MEDICARE: CENTER FOR ADVANCED PSYCHOLOGICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	103TF0200X	Forensic Psychologist
3	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1275796948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ADVANCED PSYCHOLOGICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 13296
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23325-0296
Country	:	US
Telephone Number	:	757-714-1838
Fax Number	:	757-321-6269

Provider Business Practice Location Address
First Line	:	819 W 21ST ST # 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1539
Country	:	US
Telephone Number	:	757-925-0222
Fax Number	:	757-925-1414

Authorized Official
Title or Position	:	DIRECTOR/CLINICAL PSYCHOLOGIST
Name	:	DR. ALANA R HOLLINGS
Credential	:	PSYD
Telephone Number	:	757-925-0222

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	03/31/2014

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