Organization
PSYCHOLOGICAL SERVICES OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACONDA FANNING PSY-D (DIRECTOR)
(757) 235-3751
Entity
Organization
Contact information
Practice address
645 CHURCH ST STE 205, NORFOLK, VA 23510-1712
(757) 309-4688
Mailing address
645 CHURCH ST STE 205, NORFOLK, VA 23510-1712
(757) 309-4688
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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