Organization
SPECIALIZED PSYCHOLOGICAL SERVICES
Active
Organization
SPECIALIZED PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA EGERTON WERT PH.D. (PRESIDENT)
(804) 264-0966
Entity
Organization
Contact information
Practice address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029
Mailing address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002529
VALUE OPTIONS
VA
05
—
007712332
—
VA
01
—
081163
SOUTHERN HEALTH
VA
01
—
414195
OPTIMUM/MDIPA
VA
01
—
453170
ANTHEM BLUE CROSS/BLUE SH
VA
Enumeration date
05/19/2006
Last updated
06/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up