Organization Name: | HAMPTON ROADS PSYCHOLOGICAL ASSOC |
NPI Number: | 1003058033 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY M GRIFFIN (PRESIDENT) |
Mailing Address: | 3104 Tyre Neck Rd Portsmouth |
State: | VA US |
Postal Code: | 237034512 |
Phone Number: | 7574840616 |
Fax Number: | 7574840618 |
NPI Enumeration Date: | 04/06/2009 |
NPI Last Update Date: | 06/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904000811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |