Provider Demographics
NPI:1912979808
Name:WARANCH, STEVEN F (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:WARANCH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13296
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-0296
Mailing Address - Country:US
Mailing Address - Phone:757-714-1838
Mailing Address - Fax:757-321-6269
Practice Address - Street 1:933 FIRST COLONIAL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3172
Practice Address - Country:US
Practice Address - Phone:757-321-4744
Practice Address - Fax:757-428-8836
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001439103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
031692OtherVALUE OPTIONS
12345OtherCIGNA
087097OtherSENTARA OPTIMA
046310OtherANTHEM HEALTHKEEPERS
046310OtherBCBS
213531OtherMAMSI
254516OtherMAGELLAN
44207893OtherMULTIPLAN
P00129366OtherMCARE RAILROAD
VA007747781Medicaid
046310OtherANTHEM PPO
C02527OtherMCARE GROUP #
133063OtherMANAGED HEALTH NETWORK
133063OtherMANAGED HEALTH NETWORK
44207893OtherMULTIPLAN