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Contact Information

360 PYSCHOLOGICAL SERVICES
1133 HEATHERSTONE DR STE 102
FREDERICKSBURG, VA22407-4828
 Phone: 540-702-8573
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for 360 PYSCHOLOGICAL SERVICES

NPI # 1790802478
LBN Legal business name 360 PYSCHOLOGICAL SERVICES
Authorized official THOMAS JOSEPH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 11/29/2022 - About 4 years ago
Identifiers
VA License # 0810002447
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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