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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.

Location: 2470 Pruden Blvd, Suffolk, VA, 23434-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Suffolk
State
Virginia
Zip
23434-4206
Phone Number
757-539-1503
Fax Number
757-539-0107
person
Provider Business Mailing Address Details
Address
2470 Pruden Blvd
City
Suffolk
State
Virginia
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
174400000X
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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