Organization
COASTAL VIRGINIA PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE M STARLING (OFFICE MANAGER)
(757) 499-1694
Entity
Organization
Contact information
Practice address
333 KELLAM RD STE 100, VIRGINIA BEACH, VA 23462
(757) 499-1694
(757) 499-1696
Mailing address
333 KELLAM RD STE 340, VIRGINIA BEACH, VA 23462-2746
(757) 499-1694
(757) 499-1696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001135
VA
Other
Enumeration date
04/08/2015
Last updated
08/09/2018
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