Organization
PSYCHOLOGICAL SERVICES OF VIRGINIA
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up