Organization
NORFOLK PSYCHIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M PORTNER PHD (PSCHOLOGIST)
(757) 461-3313
Entity
Organization
Contact information
Practice address
6330 NEWTOWN RD, NORFOLK, VA 23502-4802
(757) 461-3313
(757) 461-8363
Mailing address
6330 NEWTOWN RD, NORFOLK, VA 23502-4802
(757) 461-3313
(757) 461-8363
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0810001188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810001188
LISCENCE
VA
Enumeration date
09/11/2007
Last updated
09/11/2007
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