Doctor Name: | DR. DOUGLAS H CHESSEN |
NPI Number: | 1396768404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101023814 |
Business Practice Address: | 860 Omni Blvd Ste 303 Newport News, VA - 236064434 |
Business Phone Number: | 7572328769 |
Business Fax Number: | 7572328875 |
Mailing Address: | 12420 Warwick Blvd, 7-c NEWPORT NEWS |
State: | VA |
Postal Code: | 23606 |
Phone Number: | 7575953900 |
Fax Number: | 7575950649 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 0101023814 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |