Individual
DR. ACE LEONARD TUBBS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1560 BORDEAUX PL, NORFOLK, VA 23509-1314
(757) 622-6242
Mailing address
1560 BORDEAUX PL, NORFOLK, VA 23509-1314
(757) 622-6242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000253
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007700563
—
VA
01
—
433818
ANTHEM BC
VA
Enumeration date
11/21/2005
Last updated
05/13/2016
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