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NPI Code Detail

MEDICARE: LAFAYETTE PSYCHIATRIC SERVICES

MEDICARE: LAFAYETTE PSYCHIATRIC SERVICES
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0101238635VA

General Provider Information

NPI Number : 1427182815
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAFAYETTE PSYCHIATRIC SERVICES
Provider Business Mailing Address
First Line : 1443 N VEAUX LOOP
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1259
Country : US
Telephone Number : 757-627-3898
Fax Number : 757-627-0054
Provider Business Practice Location Address
First Line : 1443 N VEAUX LOOP
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1259
Country : US
Telephone Number : 757-627-3898
Fax Number : 757-627-0054
Authorized Official
Title or Position : OWNER
Name : HUMA M HYDER
Credential : M.D.
Telephone Number : 757-627-3898
Provider Enumeration Date : 03/15/2007
Last Update Date : 08/22/2020

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Directions to “LAFAYETTE PSYCHIATRIC SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.