Individual
ELISSA LEA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LCP
Contact information
Practice address
2010 OLD GREENBRIER RD STE J, CHESAPEAKE, VA 23320-2619
(757) 493-2912
(866) 730-6583
Mailing address
318 DARBY AVE, HAMPTON, VA 23663-1306
(757) 450-4201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006131
VA
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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