Organization
CHERYL A. COLECCHI, PH.D., P.C.
Active
Organization
CHERYL A. COLECCHI, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYLY A. COLECCHI PH.D. (PRESIDENT)
(703) 751-0255
Entity
Organization
Contact information
Practice address
205 S WHITING ST, SUITE 603, ALEXANDRIA, VA 22304-7100
(703) 751-0255
(703) 751-4943
Mailing address
205 S WHITING ST, SUITE 603, ALEXANDRIA, VA 22304-7100
(703) 751-0255
(703) 751-4943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001981
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080178
SENTARA
VA
01
—
083157
ANTHEM BLUE CROSS BLUE SH
VA
01
—
188815
VALUEOPTIONS
VA
01
—
2031456
CIGNA BEHAVIORAL HEALTH
VA
01
—
254590000
MAGELLAN BEHAVIORAL HEALT
VA
01
—
374830
MHN TRICARE
VA
01
—
5850280
AETNA
VA
01
—
722925
NCPPO
VA
01
—
K689
CAREFIRST BLUE CROSS BLUE
VA
Enumeration date
02/13/2007
Last updated
05/03/2013
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