Individual
JOSEPH F. PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
481 E MARKET ST, HARRISONBURG, VA 22801-4225
(540) 574-2210
Mailing address
719 OTT ST, HARRISONBURG, VA 22801-3222
(540) 564-1982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002040
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085533
SENTARA OPTIMA
VA
01
—
281942
ANTHEM BLUE CROSS BS
VA
Enumeration date
02/28/2007
Last updated
07/08/2007
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