Organization
DR. JAMES W. EISENHOWER, PH.D, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W. EISENHOWER PH.D. (LCSW)
(757) 373-6051
Entity
Organization
Contact information
Practice address
281 INDEPENDENCE BLVD, #305, VIRGINIA BEACH, VA 23462-2986
(757) 373-6051
(757) 497-1327
Mailing address
281 INDEPENDENCE BLVD, #305, VIRGINIA BEACH, VA 23462-2986
(757) 373-6051
(757) 497-1327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000683
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952407900
—
VA
Enumeration date
05/12/2007
Last updated
08/03/2007
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