Organization
GENESIS PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA SIMMONS PSY.D. (CLINICAL DIRECTOR)
(757) 626-0332
Entity
Organization
Contact information
Practice address
142 W YORK ST, SUITE 718, NORFOLK, VA 23510-2015
(757) 626-0032
(757) 626-0019
Mailing address
142 W YORK ST, SUITE 718, NORFOLK, VA 23510-2015
(757) 626-0032
(757) 626-0019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004002
VA
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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