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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESIDE PSYCHOLOGICAL CENTER PC

Active Organization

LAKESIDE PSYCHOLOGICAL CENTER PC is a Psychologist organization located in VIRGINIA BEACH, Virginia. NPI 1104044528 is currently active in the NPPES registry. Verify at CMS.

Psychologist · VIRGINIA BEACH, VA

Registration Details

NPI Number
1104044528
Provider Type
Organization
NPI Issued
Apr 23, 2007 (19.306622132188 yrs)
Last Updated
Sep 1, 2010
License
90801000970 (VA)

Practice Information

Address
3076 BRICKHOUSE CT
VIRGINIA BEACH, VA, 234526859
Browse VA providers · Browse ZIP 23452
Phone
7574860909
Fax
7573407518
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.