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Contact Information

CLINICAL ASSOCIATES OF TIDEWATER
12695 MCMANUS BLVD BLDG 8
NEWPORT NEWS, VA23602-4442
 Phone: 757-877-7700
 Fax: 757-872-7211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLINICAL ASSOCIATES OF TIDEWATER · (Female)

NPI Number 1447341615
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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