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Organization
CORNELL PSYCHOLOGICAL SERVICES, LLC
Active
Organization
CORNELL PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY CORNELL PSYD (OWNER/MANAGER)
(757) 618-6565
Entity
Organization
Contact information
Practice address
505 MAXWELL ST, CHESAPEAKE, VA 23322-1622
(757) 618-6565
(757) 410-8963
Mailing address
505 MAXWELL ST, CHESAPEAKE, VA 23322-1622
(757) 618-6565
(757) 410-8963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225706468
—
VA
05
—
1528510161
—
VA
Enumeration date
09/02/2021
Last updated
09/04/2026
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