Adelia Gregoire LLC
Organization Active NPI Clinical Psychologist · Norfolk, VA
NPI 1033666409 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1033666409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 081000263 (VA)
- Legal business name
- ADELIA GREGOIRE LLC
- Practice address
- 6126 Studeley Ave
Norfolk, VA 23508-1032 - Phone
- (757) 423-1266
- NPI assigned
- Sep 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Adelia Furr Gregoire, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (757) 423-1266
Practitioners 1
-
Adelia Furr Gregoire, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161102001733 | VA | Part B Supplier - Clinic/Group Practice | 4486932076 |
Receives reassigned benefits from 1 practitioner Practice locations: Norfolk, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 081000263 | VA | Yes |
Addresses
Primary practice location
6126 Studeley Ave
Norfolk, VA 23508-1032
Mailing address
6126 Studeley Ave
Norfolk, VA 23508-1032
Phone (757) 423-1266
Other providers in Norfolk, VA
- Nevin Adamski
- Waleed Adawi
- Jemima N Addico-Filson
- Deborah Addison
- Oluwatoyin Adebule
- Aderonke Mariam Ademola
- Jacqueline Adkins-Harris
- Kyle Admire
- Adolescent and Family Institute, Inc.
- Adolescent Growth Virginia, Inc
All providers in Norfolk, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.