NPI 1790802478 · live from the CMS NPI Registry
360 Pyschological Services
Psychologist in Fredericksburg, VA. National Provider Identifier 1790802478, active.
NPI record
| NPI | 1790802478 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1133 Heatherstone Dr Ste 102, Fredericksburg, VA 22407 |
| Practice phone | 540-702-8573 |
| Enumerated | March 26, 2007 |
| Last updated | November 29, 2022 |
| Authorized official | Thomas Joseph, Owner |
| Other names | Thomas X Joseph |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 0810002447 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.