Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES INC
Other names
Riverside Neuropsychology and Behavioral Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES INC
Authorized official
JAMES LESNICK MD (VICE PRESIDENT)
(757) 594-4006
Entity
Organization
Contact information
Practice address
245 CHESAPEAKE AVE, NEWPORT NEWS, VA 23607-6038
(757) 534-9710
(757) 928-8337
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
VA
103T00000X
Psychologist
Primary
—
VA
Other
Enumeration date
11/16/2011
Last updated
10/15/2014
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