NPI 1790506533 · live from the CMS NPI Registry
Act Of Virginia
Psychologist, Clinical in Williamsburg, VA. National Provider Identifier 1790506533, active.
NPI record
| NPI | 1790506533 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1162 Professional Dr, Williamsburg, VA 23185 |
| Practice phone | 757-345-3100 |
| Enumerated | October 23, 2024 |
| Last updated | July 23, 2025 |
| Authorized official | Ann Vanskiver, Ceo/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.