Provider Demographics
NPI:1457499055
Name:CAROL T. PRITCHARD & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CAROL T. PRITCHARD & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:T
Authorized Official - Last Name:PRITCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-437-0000
Mailing Address - Street 1:219 43RD ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-2503
Mailing Address - Country:US
Mailing Address - Phone:757-437-0000
Mailing Address - Fax:757-422-2842
Practice Address - Street 1:219 43RD ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-2503
Practice Address - Country:US
Practice Address - Phone:757-437-0000
Practice Address - Fax:757-422-2842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001542103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA461120OtherANTHEM BCBS