MEDICARE: PROF. KATHRIN HARTMANN PH.D.

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
1	103TC0700X	Clinical Psychologist	0810002141	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	-006	OTHER	VA	TRICARE/CHAMPUS
2	PAR	OTHER	VA	CORVEL/CORCARE
3	PAR	OTHER	VA	FIRST HEALTH COMMERCIAL
4	325309	OTHER	VA	ANTHEM
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	343836	OTHER	VA	MANAGED HEALTH NETWORK
7	PAR	OTHER	VA	AETNA
8	PAR	OTHER	VA	VIRGINIA PREMIER HEALTH
9	PAR	OTHER	VA	MULTIPLAN
10	PAR	OTHER	VA	USA MANAGED CARE
11	PAR	OTHER	VA	VIRGINIA HEALTH NETWORK
12	O-86184	OTHER	VA	SENTARA OPTIMA
13	PAR	OTHER	VA	UNITED BEHAVIORAL HEALTH
14	PAR	OTHER	VA	CIGNA BEHAVIORAL HEALTH
15	150247	OTHER	VA	MAGELLAN HEALTH SERVICES
16	PAR	OTHER	VA	VALUE OPTIONS

General Provider Information

NPI Number	:	1588639249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. KATHRIN HARTMANN PH.D.

Provider Business Mailing Address
First Line	:	309 LYNNHAVEN PKWY STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7411
Country	:	US
Telephone Number	:	757-839-5888
Fax Number	:	757-446-5918

Provider Business Practice Location Address
First Line	:	309 LYNNHAVEN PARKWAY
Second Line	:	SUITE 1
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7411
Country	:	US
Telephone Number	:	757-839-5888
Fax Number	:	757-446-5918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	02/10/2020

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