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Amazing Star Group Home Corporation
Health Service Psychologist in Norfolk, Virginia
NPI 1184081739

Amazing Star Group Home Corporation is a Health Service Psychologist based in Norfolk, VA and is specialized in Health Service. Amazing Star Group Home Corporation practices in Norfolk, VA. The NPI Number for Amazing Star Group Home Corporation is 1184081739 and holds a License No. (Virginia).

The current practice location address for Amazing Star Group Home Corporation is 861 Glenrock Rd, Norfolk, VA and can be reached out via phone at 757-706-2273 and via fax at 757-893-9266.

Location: 861 Glenrock Rd, Norfolk, VA, 23502-3720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184081739
Provider Name
Amazing Star Group Home Corporation
Credential
Provider Entity Type
Organization
Address
861 Glenrock Rd, Norfolk, VA, 23502-3720
Phone Number
757-706-2273
Fax Number
757-893-9266
Provider Enumeration Date
01/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
861 Glenrock Rd
City
Norfolk
State
Virginia
Zip
23502-3720
Phone Number
757-706-2273
Fax Number
757-893-9266
person
Provider Business Mailing Address Details
Address
861 Glenrock Rd
City
Norfolk
State
Virginia
Zip
23502-3720
Phone Number
757-706-2273
Fax Number
757-893-9266
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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