Organization
LAURA G FORMAN, PSY.D, FAPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA G FORMAN PSY.D (OWNER)
(757) 550-1735
Entity
Organization
Contact information
Practice address
129 W VIRGINIA BEACH BLVD # 204B, NORFOLK, VA 23510-2030
(757) 550-1735
(757) 622-4033
Mailing address
129 W VIRGINIA BEACH BLVD # 204B, NORFOLK, VA 23510-2030
(757) 550-1735
(757) 622-4033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/03/2022
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