Provider Demographics
NPI:1811035496
Name:BELL-PRINGLE, VIRGINIA JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:JANE
Last Name:BELL-PRINGLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1788 CENTURY BLVD NE STE B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3321
Mailing Address - Country:US
Mailing Address - Phone:678-595-6716
Mailing Address - Fax:
Practice Address - Street 1:1788 CENTURY BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3321
Practice Address - Country:US
Practice Address - Phone:678-595-6716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002578103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52186843OtherBCBS PROVIDER NUMBER