Segarra, Efrain
Segarra, Efrain is an sole proprietor health care provider with primary practice located at 5557 Carys Brook Ln , Gloucester VA 23061-2002. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Segarra, Efrain can be contacted via phone (757) 344-6747.Contact Information
Primary practice address
5557 Carys Brook Ln
Gloucester VA 23061-2002
Phone: (757) 344-6747
Fax: (804) 695-1815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 0810001283 | Virginia |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 0810001283 | Virginia |
Profile Details
| NPI number | 1497759419 |
|---|---|
| LBN Legal business name | Segarra, Efrain |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Oct 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497759419 | NPPES |
| Virginia | Other | 289120 | ANTHEM BLUE CROSS |
| Virginia | MEDICAID | 010164206 | ANTHEM BLUE CROSS |
| Virginia | MEDICAID | 010164851 | ANTHEM BLUE CROSS |
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