Organization
CENTER FOR PSYCHOLOGICAL ASSESSMENT & THERAPEUTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN REX MILLER JR. PHD (PRESIDENT)
(757) 340-1164
Entity
Organization
Contact information
Practice address
5900 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2530
(757) 714-1838
(757) 321-6269
Mailing address
PO BOX 13296, CHESAPEAKE, VA 23325-0296
(757) 714-1838
(757) 321-6269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000350
VA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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