Organization
NEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC
Active
Organization
NEUROPSYCHOLOGICAL SERVICES OF TIDEWATER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE DUCHARME PHD (CLINICAL NEUROPSYCHOLOGIST)
(757) 301-2248
Entity
Organization
Contact information
Practice address
2005 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455
(757) 301-2248
(757) 689-8378
Mailing address
2005 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455-2709
(757) 301-2248
(757) 689-8378
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810004265
VA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/16/2017
Last updated
03/01/2019
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