NPI 1508172859 · live from the CMS NPI Registry
Glenn W Ahava, Ph.D.
Psychologist, Clinical in Newport News, VA. National Provider Identifier 1508172859, active.
NPI record
| NPI | 1508172859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 700 Flume Run Apt 102, Newport News, VA 23602 |
| Practice phone | 478-595-3400 |
| Enumerated | August 25, 2010 |
| Last updated | January 29, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0810-002514 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.