institution
Suffolk Psychiatric Group
Specialist in Suffolk, Virginia
NPI 1265514954

Suffolk Psychiatric Group is a Specialist based in Suffolk, VA. Suffolk Psychiatric Group practices in Suffolk, VA. The NPI Number for Suffolk Psychiatric Group is 1265514954 and holds a License No. 0101039180 (Virginia).

The current practice location address for Suffolk Psychiatric Group is 2470 Pruden Blvd, Suffolk, VA and can be reached out via phone at 757-539-1503 and via fax at 757-539-0107. You can also correspond with Suffolk Psychiatric Group through the mailing address at 2470 PRUDEN BLVD, SUFFOLK, VA - 23434-4206 (mailing address contact number: 757-539-1503).

Location: 2470 Pruden Blvd, Suffolk, VA, 23434-4206
institution
Provider Profile Details
NPI Number
1265514954
Provider Name
Suffolk Psychiatric Group
Credential
Provider Entity Type
Organization
Address
2470 Pruden Blvd, Suffolk, VA, 23434-4206
Phone Number
757-539-1503
Fax Number
757-539-0107
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010413761 05 VA
institution
Provider Business Practice Location Address Details
Address
2470 Pruden Blvd
City
State
Zip
23434-4206
Phone Number
757-539-1503
Fax Number
757-539-0107
person
Provider Business Mailing Address Details
Address
2470 Pruden Blvd
City
State
Zip
23434-4206
Phone Number
757-539-1503
Fax Number
757-539-0107
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101039180 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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