Individual
DR. STEPHEN GERARD VIRGINIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1020 27TH ST, PORTSMOUTH, OH 45662-2513
(740) 529-1369
Mailing address
1020 27TH ST, PORTSMOUTH, OH 45662-2513
(740) 529-1369
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632
PSYCHOLOGIST
OH
Enumeration date
09/06/2018
Last updated
09/06/2018
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