Edwin Samuel Mccrickard Jr, - Psychologist in Chesapeake, VA

Edwin Samuel Mccrickard Jr, is a Psychologist - School based in Chesapeake, Virginia. Edwin Samuel Mccrickard Jr is licensed to practice in Virginia (license number 0813000045) and his current practice location is 1613 Hawthorne Dr, Chesapeake, Virginia. He can be reached at his office (for appointments etc.) via phone at (757) 803-5810.

NPI number for Edwin Samuel Mccrickard Jr is 1790289973 and his current mailing address is 1613 Hawthorne Dr, Chesapeake, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790289973.

Contact Information

Edwin Samuel Mccrickard Jr,
1613 Hawthorne Dr,
Chesapeake, VA 23325-3847
(757) 803-5810
(757) 631-4767

Map and Direction




Healthcare Provider's Profile

Full NameEdwin Samuel Mccrickard Jr
GenderMale
SpecialityPsychologist - School
Location1613 Hawthorne Dr, Chesapeake, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790289973
  • Provider Enumeration Date: 03/21/2018
  • Last Update Date: 03/21/2018

Medical Identifiers

Medical identifiers for Edwin Samuel Mccrickard Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790289973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 0813000045 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edwin Samuel Mccrickard Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edwin Samuel Mccrickard Jr,
1613 Hawthorne Dr,
Chesapeake, VA 23325-3847

Ph: (757) 803-5810
Edwin Samuel Mccrickard Jr,
1613 Hawthorne Dr,
Chesapeake, VA 23325-3847

Ph: (757) 803-5810

Reviews and Comments


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