Organization
BEHAVIORAL MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY W COLE PH.D. (DIRECTOR / OWNER)
(757) 872-8303
Entity
Organization
Contact information
Practice address
606 DENBIGH BLVD STE 100, NEWPORT NEWS, VA 23608-4413
(757) 872-8303
(757) 872-6857
Mailing address
606 DENBIGH BLVD STE 100, NEWPORT NEWS, VA 23608-4413
(757) 872-8303
(757) 872-6857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7714416
—
VA
Enumeration date
09/16/2006
Last updated
02/28/2008
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