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Organization

OCEAN PSYCHIATRIC GROUP PC

Active
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Organization

OCEAN PSYCHIATRIC GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHARINE W HEATWOLE MD (MD)
(757) 647-0480
Entity
Organization

Contact information

Practice address
596 LYNNHAVEN PKWY STE 100, VIRGINIA BEACH, VA 23452-7371
(757) 802-4500
(757) 226-9002
Mailing address
596 LYNNHAVEN PKWY STE 100, VIRGINIA BEACH, VA 23452-7371
(757) 802-4500
(757) 226-9002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
Primary
2084P0805X
Geriatric Psychiatry Physician
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205270147
VA
Enumeration date
04/22/2013
Last updated
05/21/2024
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