Organization
AUGUSTA PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M JAYNE MD (PRESIDENT)
(540) 949-4202
Entity
Organization
Contact information
Practice address
73 WILSON BLVD STE 101, FISHERSVILLE, VA 22939-2286
(540) 949-4202
(540) 949-7109
Mailing address
73 WILSON BLVD STE 101, FISHERSVILLE, VA 22939-2286
(540) 949-4202
(540) 949-7109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0015X
Psychosomatic Medicine Physician
Primary
0101041689
VA
Other
Enumeration date
09/13/2006
Last updated
08/20/2024
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