Provider Demographics
NPI:1518145374
Name:TURNAGE, CAROLYN FURCRON (LCP, PHD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:FURCRON
Last Name:TURNAGE
Suffix:
Gender:F
Credentials:LCP, PHD
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:BETH
Other - Last Name:FURCRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 EMANCIPATION DR
Mailing Address - Street 2:BUILDING 137, ROOM 98-A
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23667-0001
Mailing Address - Country:US
Mailing Address - Phone:757-722-9961
Mailing Address - Fax:757-726-6025
Practice Address - Street 1:100 EMANCIPATION DR
Practice Address - Street 2:BUILDING 137, RM - 98A
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667-0001
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-726-6025
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical