Organization
CENTER FOR PSYCHOLOGICAL ASSESSMENT AND THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN REX MILLER PH.D (OWNER / PARTNER)
(757) 340-1164
Entity
Organization
Contact information
Practice address
3500 VIRGINIA BEACH BLVD, SUITE 511, VIRGINIA BEACH, VA 23452-4445
(757) 340-1164
(757) 340-1195
Mailing address
3500 VIRGINIA BEACH BLVD, SUITE 511, VIRGINIA BEACH, VA 23452-4445
(757) 340-1164
(757) 340-1195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810000350
VA
103TC0700X
Clinical Psychologist
0810000350
VA
103TF0200X
Forensic Psychologist
0810000350
VA
1041C0700X
Clinical Social Worker
0904005428
VA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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