| Piedmont Psychological Services | |
|
200b Milnwood Rd Farmville VA 23901-2817 | |
| (434) 315-8813 | |
| (434) 315-5913 |
| Full Name | Piedmont Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 200b Milnwood Rd, Farmville, Virginia |
| Authorized Official Name and Position | Lynn Carson Blackwood (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4343158813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Psychological Services 200b Milnwood Rd Farmville VA 23901-2817 Ph: (434) 315-8813 | Piedmont Psychological Services 200b Milnwood Rd Farmville VA 23901-2817 Ph: (434) 315-8813 |
| NPI Number | 1104120294 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104120294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003954 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810001049 (Virginia) | Primary |
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