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Contact Information

ELLEN M KVETON, LCP
2470 PRUDEN BLVD
SUFFOLK, VA23434
 Phone: 757-539-1503
 Fax: 757-539-0107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELLEN M KVETON · (Female)

NPI # 1467404509
Status Active
Credentials LCP
Entity Individual
Enumeration date 05/17/2006
Last updated 10/19/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0810001893
  • VA License # 810001893
  • VA Medicaid 007702655
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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