Provider Demographics
NPI:1841857737
Name:PSYCHOLOGICAL ASSOCIATES OF GREATER HAMPTON ROADS PLLC
Entity type:Organization
Organization Name:PSYCHOLOGICAL ASSOCIATES OF GREATER HAMPTON ROADS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIALL
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:FOSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-255-8930
Mailing Address - Street 1:355 CRAWFORD ST STE 333
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-2819
Mailing Address - Country:US
Mailing Address - Phone:757-255-8930
Mailing Address - Fax:757-337-0004
Practice Address - Street 1:355 CRAWFORD ST STE 333
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-2819
Practice Address - Country:US
Practice Address - Phone:757-255-8930
Practice Address - Fax:757-337-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-25
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty