| Dominion Psychological Associates Llc | |
|
809 Main Street Ste #101 Newport News VA 23605 | |
| (757) 550-5266 | |
| Not Available |
| Full Name | Dominion Psychological Associates Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 809 Main Street, Newport News, Virginia |
| Authorized Official Name and Position | Michelle Jan Johnson (LCSW/ADMINISTRATOR) |
| Authorized Official Contact | 7575505266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Psychological Associates Llc 1706 Todds Ln # 331 Hampton VA 23666-3123 Ph: (757) 550-5266 | Dominion Psychological Associates Llc 809 Main Street Ste #101 Newport News VA 23605 Ph: (757) 550-5266 |
| NPI Number | 1649865312 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649865312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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