Provider Demographics
NPI:1073229308
Name:FOCHT-NEW, VIRGINIA (PHD PMHCNS BCB BCN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:FOCHT-NEW
Suffix:
Gender:F
Credentials:PHD PMHCNS BCB BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2403
Mailing Address - Country:US
Mailing Address - Phone:610-804-4882
Mailing Address - Fax:
Practice Address - Street 1:765 MAIN ST
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-2403
Practice Address - Country:US
Practice Address - Phone:610-804-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN283921L364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health