Provider Demographics
NPI:1669487088
Name:PSYCHOLOGICAL SERVICES OF CHESAPEAKE, P.C.
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SERVICES OF CHESAPEAKE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WEARE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:ZWEMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:757-548-8848
Mailing Address - Street 1:411 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5566
Mailing Address - Country:US
Mailing Address - Phone:757-548-8848
Mailing Address - Fax:757-549-1347
Practice Address - Street 1:411 CEDAR RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5566
Practice Address - Country:US
Practice Address - Phone:757-548-8848
Practice Address - Fax:757-549-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001649103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty