U.s.navy

NPI #1184086779 in Portsmouth, Virginia

Provider Information

NPI Number: 1184086779
Entity Type: Organization
Organization Name: U.s.navy
Primary Specialty: Military Hospital
Enumeration Date: Mar 23, 2016
Last Updated: Mar 23, 2016

Practice Location

Address: 470 MIDDLE ST
Address 2: APT 220
City: Portsmouth
State: Virginia
ZIP Code: 23704-2813
Phone: (757) 953-6741

Authorized Official

Name: MARCUS VANSICKLE, M.S.
Title: CLINICAL PSYCHOLOGY INTERN
Phone: (757) 953-6741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Hospital	286500000X	Primary

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