| NPI | 1770677288 |
|---|---|
| Doing Business As | CHURCHLAND PSYCHOLOGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE VANGOSEN Office Manager 757-483-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |