360 Pyschological Services
Psychologist in Fredericksburg, VA. Organization (NPI-2).
NPI number1790802478
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1790802478
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Pyschological Services
- Organization subpart
- No
- Enumeration date
- Mar 26, 2007
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 0810002447 | VA | Yes |
Other names
- Thomas X Joseph (Other Name)
Practice location
1133 Heatherstone Dr Ste 102Fredericksburg, VA 22407-4828
Phone 540-702-8573
Mailing address
1133 Heatherstone Dr Ste 102Fredericksburg, VA 22407-4828
Phone 540-702-8573
Authorized official
Thomas X Joseph
Owner
5407028573
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All 14 Psychologist providers in Fredericksburg · All 4,989 providers in Fredericksburg
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