Organization
INDIAN RIVER PSYCHOLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. I. KIMBERLEE CHUCKER LCSW (PRESIDENT)
(757) 424-0100
Entity
Organization
Contact information
Practice address
6477 COLLEGE PARK SQ, SUITE 302, VIRGINIA BEACH, VA 23464-3611
(757) 424-0100
(757) 424-5623
Mailing address
6477 COLLEGE PARK SQ, SUITE 302, VIRGINIA BEACH, VA 23464-3611
(757) 424-0100
(757) 424-5623
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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