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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