Organization
PSYCHOLOGICAL WORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY COHN PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(540) 230-5958
Entity
Organization
Contact information
Practice address
707 RANDOLPH ST, SUITE 101, RADFORD, VA 24141-2443
(540) 230-5958
(540) 633-3804
Mailing address
707 RANDOLPH ST, STE 101, RADFORD, VA 24141-2443
(540) 230-5958
(540) 552-0918
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0810004007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528211901
—
VA
Enumeration date
08/27/2010
Last updated
11/02/2011
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