| Organization Name: | PSYCHIATRIC ASSOCIATES OF THE SHENANDOAH |
| NPI Number: | 1053360263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT H BLINN (SECRETARY TREASURER OWNER) |
| Mailing Address: | 920 Shenandoah Village Drive Suite 124 Waynesboro |
| State: | VA US |
| Postal Code: | 22980 |
| Phone Number: | 5409327800 |
| Fax Number: | 5409327191 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |