Individual
ANN D MINGIONE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3300 ACADEMY AVE, PORTSMOUTH, VA 23703-3205
(757) 483-6406
(757) 483-0737
Mailing address
3300 ACADEMY AVE, PORTSMOUTH, VA 23703-3205
(757) 483-6406
(757) 483-0737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000585
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087172
SENTARA
VA
01
—
176613
ANTHEM
VA
Enumeration date
08/30/2005
Last updated
07/08/2007
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