Provider Demographics
NPI:1164618187
Name:VANSKIVER, ANN P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:P
Last Name:VANSKIVER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:P
Other - Last Name:UNTERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:309 BUFORD RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1510
Mailing Address - Country:US
Mailing Address - Phone:516-455-1536
Mailing Address - Fax:757-663-7597
Practice Address - Street 1:309 BUFORD RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-1510
Practice Address - Country:US
Practice Address - Phone:516-455-1536
Practice Address - Fax:757-663-7597
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0810004865103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic