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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