Individual
DR. MARK ERIC WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 INDEPENDENCE PKWY, SUITE 100, CHESAPEAKE, VA 23320-5205
(757) 420-0530
(757) 420-0488
Mailing address
640 INDEPENDENCE PKWY, SUITE 100, CHESAPEAKE, VA 23320-5205
(757) 420-0530
(757) 420-0488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003540
VA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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