Tate, Victoria Pezzullo

Tate, Victoria Pezzullo is an sole proprietor health care provider with primary practice located at 420 Third St Ne , Charlottesville VA 22901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Tate, Victoria Pezzullo can be contacted via phone (804) 519-7191.

Contact Information

Primary practice address
420 Third St Ne Charlottesville VA 22901
Phone: (804) 519-7191
Fax: (804) 744-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810003679 Virginia

Profile Details

NPI number 1427124825
LBN Legal business name Tate, Victoria Pezzullo
Credentials PSYD, LCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 31st, 2012 - about 13 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 1427124825 NPPES
Virginia Other 269349 ANTHEM

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