Individual
DR. REBECCA MARIE SMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0429
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0429
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
0101235761
VA
2084P0800X
Psychiatry Physician
0101235761
VA
208D00000X
General Practice Physician
0101235761
VA
Other
Enumeration date
01/30/2006
Last updated
06/08/2020
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