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Contact Information

EFRAIN SEGARRA, PHD
5557 CARYS BROOK LN
GLOUCESTER COURTHOUSE, VA23061-2002
 Phone: 757-344-6747
 Fax: 804-695-1815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EFRAIN SEGARRA · (Male)

NPI # 1497759419
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/08/2005
Last updated 10/29/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0810001283
  • VA Medicaid 010164206
  • VA Medicaid 010164851
  • VA Other 289120 ANTHEM BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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