Organization
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA
Active
Other names
University of Virginia Center for Clinical Psychology Services
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY H CARPENTER (CENTER MANAGER)
(434) 924-1406
Entity
Organization
Contact information
Practice address
417 EMMET STREET, SOUTH, CHARLOTTESVILLE, VA 22904-4270
(434) 924-7034
(434) 924-4621
Mailing address
417 EMMET STREET, SOUTH, P.O. BOX 400270, CHARLOTTESVILLE, VA 22904-4270
(434) 924-7034
(434) 924-4621
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TCO700X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230305
ANTHEM BCBS
VA
01
—
274981000
MAGELLAN
VA
Enumeration date
05/16/2007
Last updated
08/17/2018
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