Individual
WILLIAM J DUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4041 TAYLOR RD STE G, CHESAPEAKE, VA 23321-5525
(757) 483-6404
(757) 483-0737
Mailing address
4041 TAYLOR RD STE G, CHESAPEAKE, VA 23321-5525
(757) 483-6404
(757) 483-0737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007799187
—
VA
01
—
027830
ANTHEM
VA
01
—
080704
SENTARA
VA
Enumeration date
08/30/2005
Last updated
11/07/2021
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