Organization
OPTUM BEHAVIORAL CARE OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY BISCORNET (SECRETARY)
(603) 854-2929
Entity
Organization
Contact information
Practice address
9212 N KELLEY AVE STE 200, OKLAHOMA CITY, OK 73131-2419
(405) 242-5070
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(603) 854-2929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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