Psychological Services of Virginia

NPI #1205261963 in Norfolk, Virginia

Provider Information

NPI Number: 1205261963
Entity Type: Organization
Organization Name: Psychological Services of Virginia
Primary Specialty: Psychologist - Group Psychotherapy
Enumeration Date: Sep 12, 2013
Last Updated: Sep 12, 2013

Practice Location

Address: 645 CHURCH ST STE 205
City: Norfolk
State: Virginia
ZIP Code: 23510-1712
Phone: (757) 309-4688

Authorized Official

Name: DR. LACONDA FANNING, PSY-D
Title: DIRECTOR
Phone: (757) 235-3751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X	Primary

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