Organization · Type 2 NPI
Independence Child Therapy Services LLC
Clinical Psychologist · Virginia Beach, VA
Practice location
4807A Lauderdale Ave
Virginia Beach, VA 23455-1364
Fax (757) 963-9020
Mailing address
PO Box 55145
Virginia Beach, VA 23471-5145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 0810004468 (VA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1417232802
Independence Child Therapy Services LLC's National Provider Identifier is 1417232802, issued on Oct 17, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Oct 17, 2011.