Provider Demographics
NPI:1487668448
Name:NEUROPSYCHOLOGICAL SERVICES OF VIRGINIA, INC.
Entity Type:Organization
Organization Name:NEUROPSYCHOLOGICAL SERVICES OF VIRGINIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:PECK
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:804-285-2572
Mailing Address - Street 1:2010 BREMO RD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2444
Mailing Address - Country:US
Mailing Address - Phone:804-285-2572
Mailing Address - Fax:804-282-0314
Practice Address - Street 1:2010 BREMO RD
Practice Address - Street 2:SUITE 127
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2444
Practice Address - Country:US
Practice Address - Phone:804-285-2572
Practice Address - Fax:804-282-0314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811943830OtherNPI
1568401123OtherNPI
1417997552OtherNPI