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NPI Code Detail

MEDICARE: DR. PATRICIA COLBY MFT, LPC

MEDICARE: DR. PATRICIA COLBY MFT, LPC
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
1106H00000XMarriage & Family Therapist31231CA
2101YP2500XProfessional Counselor0701001148VA

General Provider Information

NPI Number : 1962532119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA COLBY MFT, LPC
Provider Business Mailing Address
First Line : 1700 PLEASURE HOUSE RD STE 102A
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-4062
Country : US
Telephone Number : 757-805-6553
Fax Number : 984-220-9437
Provider Business Practice Location Address
First Line : 4360 SHORE DR STE 101
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-2994
Country : US
Telephone Number : 757-251-0879
Fax Number : 984-220-9437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 04/12/2023

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