Organization
PROVIDENCE CONSULTING AND CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A YARHOUSE PSY.D. (PRESIDENT)
(757) 348-8680
Entity
Organization
Contact information
Practice address
1000 REGENT UNIVERSITY DR, CRB 161, VIRGINIA BEACH, VA 23464-5037
(757) 348-8680
Mailing address
1989 BLUE KNOB RD, VIRGINIA BEACH, VA 23464-7435
(757) 348-8680
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810000366
VA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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