Individual
MR. ROBERT LAMIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
6330 NEWTOWN RD, SUITE 300, NORFOLK, VA 23502-4802
(757) 466-3336
(757) 455-5750
Mailing address
2202 EXECUTIVE DR (PRIMARY), SUITE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
810002546
VA
103TC0700X
Clinical Psychologist
Primary
0810002546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010829G34
MEDICARE
VA
01
—
20-4459309
CHOICE CARE
VA
01
—
214929
COM PSYCH
VA
01
—
236803
ANTHEM BC/BC
VA
01
—
244656
VALUE OPTIONS
VA
01
—
328201
TRICARE
VA
01
—
459414000
MAGELLAN
VA
01
—
7714734
MENTAL HN
VA
05
—
7714734
—
VA
Enumeration date
07/05/2006
Last updated
03/07/2014
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