Individual
DR. EARL WAYNE FLORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3305 POPLAR CREEK LN, WILLIAMSBURG, VA 23188-1058
(757) 564-8522
(757) 566-0360
Mailing address
PO BOX 564, NORGE, VA 23127-0564
(757) 564-8522
(757) 566-0360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001797
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031312
VALUE OPTIONS
VA
01
—
095271
BCBSVA
VA
01
—
152183
COMPSYCH
VA
01
—
244496
MHN
VA
01
—
271332
PHCS
VA
01
—
86196
SENTARA MENTAL HEALTH
VA
Enumeration date
06/12/2006
Last updated
07/08/2007
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