Organization
CORNELL PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY CORNELL PSYD (OWNER/MANAGER)
(757) 618-6565
Entity
Organization
Contact information
Practice address
901 LELA LN, CHESAPEAKE, VA 23322-3718
(757) 618-6565
Mailing address
901 LELA LN, CHESAPEAKE, VA 23322-3718
(757) 618-6565
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528510161
—
VA
Enumeration date
09/02/2021
Last updated
06/14/2022
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