Spectrum Psychological And Neurotherapy Pc

LBN: Spectrum Psychological And Neurotherapy Pc
Spectrum Psychological And Neurotherapy Pc is an health care organization with primary practice located at 4542 Bonney Rd Ste B , Virginia Beach VA 23462. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Spectrum Psychological And Neurotherapy Pc can be contacted via phone (757) 640-1882, or through Ellis, Carl Richard via phone (757) 640-1882.

Contact Information

Primary practice address
4542 Bonney Rd Ste B Virginia Beach VA 23462
Phone: (757) 640-1882
Fax: (757) 640-0253
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Carl Richard ED.D.
Phone: (757) 640-1882

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1407221716
LBN Legal business name Spectrum Psychological And Neurotherapy Pc
DBA Doing business as
Authorized official Ellis, Carl Richard ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2015
Last updated Aug 15th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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