Amazing Star Group Home Corporation
Amazing Star Group Home Corporation provides Health Service Psychologist services in Norfolk, Virginia. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
861 Glenrock Rd Ste 114Norfolk, VA 23502-3720 Not confirmed with CMS for 10 years — call before visiting
Phone: (757) 706-2273
Fax: (757) 893-9266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Psychologist (primary) | Taxonomy 103TH0100X |
|---|
Record details
| NPI number | 1184081739 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Etute — Pres/Ceo · (757) 706-2273 |
| NPI enumerated | January 26, 2016 |
| Last updated in NPPES | January 26, 2016 |
| Mailing address | 861 Glenrock Rd, Suite 114, Norfolk, VA 23502-3720 |
Other providers in Norfolk
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Dr. Roger Bryant, PSYD
1683 Gilbert St Ste 100 Nmcp - Sarp, Norfolk, VA 23511-2731 · (757) 444-8506