Organization
FAIRFIELD PSYCHOLOGICAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ROTFUS LCSW (PRESIDENT)
(757) 467-9500
Entity
Organization
Contact information
Practice address
5265 PROVIDENCE RD, SUITE 500, VIRGINIA BEACH, VA 23464-4206
(757) 467-9500
(757) 467-9560
Mailing address
5265 PROVIDENCE RD, SUITE 500, VIRGINIA BEACH, VA 23464-4206
(757) 467-9500
(757) 467-9560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904000552
VA
1041C0700X
Clinical Social Worker
0904000552
VA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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