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Individual

BARBARA K PAIGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 N LYNNHAVEN RD, SUITE 103, VIRGINIA BEACH, VA 23452-7523
(757) 486-6955
(757) 486-3258
Mailing address
101 N LYNNHAVEN RD, SUITE 103, VIRGINIA BEACH, VA 23452-7523
(757) 486-6955
(757) 486-3258

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000856
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052857
ANTHEM BCBS
VA
05
77-0115-2
VA
Enumeration date
07/04/2006
Last updated
09/05/2008
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