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EDWARD HULAND SPAIN PH. D.

Clinical Neuropsychologist

Suffolk, Virginia

Provider NPI: 1518077007

Provider Information:
 EDWARD HULAND SPAIN PH. D.
Gender: M
Sole Proprietor


Practice Location:
424 N MAIN ST SUITE #4 SUFFOLK, VA 23434 US
Tel: 757-539-9458  Fax: 757-539-9468

Business Mailing Address:
PO BOX 1066  SUFFOLK, VA 23439 US
Tel: 757-539-9458  Fax: 757-539-9468

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VA0810002426
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
VA0810002426

Other Provider Identifiers:

IssuerNumberStateType
PHP-MD, MAMSI, ETC. NUMBE443602VA01
BLUE CROSS BLUE SHIELD283200VA01
SENTARA088631VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS VA - Page 1

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16 Psychologist Reston, VA, USA 'Clinical Psychologist needed for outpatient practice providing early intervention, individual and group therapy for children, and guidance for parents offering psychological, neuropsychological ...... Apply Now>>



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