Organization
PALADIN BEHAVIORAL AND FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P POLK PSYD LCP (OWNER)
(757) 288-9907
Entity
Organization
Contact information
Practice address
933 FIRST COLONIAL RD, SUITE 203, VIRGINIA BEACH, VA 23454-3172
(757) 288-9907
(757) 321-6269
Mailing address
PO BOX 13296, CHESAPEAKE, VA 23325-0296
(757) 714-1838
(757) 321-6269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
06/03/2008
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