| Riverside Physician Services Inc | |
|
3300 Academy Ave Portsmouth VA 23703-3205 | |
| (757) 483-6404 | |
| (757) 483-0737 |
| Full Name | Riverside Physician Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3300 Academy Ave, Portsmouth, Virginia |
| Authorized Official Name and Position | James Lesnick (VICE PRESIDENT) |
| Authorized Official Contact | 7575944006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Physician Services Inc 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Physician Services Inc 3300 Academy Ave Portsmouth VA 23703-3205 Ph: (757) 483-6404 |
| NPI Number | 1821421454 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821421454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Virginia) | Primary |
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