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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
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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