Organization · Type 2 NPI

Lakeside Psychological Center PC

Psychologist · Virginia Beach, VA

NPI number 1104044528 Active

Practice location

3076 Brickhouse Ct
Virginia Beach, VA 23452-6859

Call (757) 486-0909 Map

Fax (757) 340-7518

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X90801000970 (VA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104044528

Lakeside Psychological Center PC's National Provider Identifier is 1104044528, issued on Apr 23, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 1, 2010.