DR. GLENN W AHAVA


Address: 105 Barclay Rd, Newport News, VA 23606-1403
Phone: 4785953400

DR. GLENN W AHAVA (NPI# 1508172859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508172859
Entity Type Individual
Full Name DR. GLENN W AHAVA
Credential PH.D.
Practice Address 105 Barclay Rd
Newport News
VA 23606-1403
Practice Telephone 4785953400
Mailing Telephone 4785953400
Enumeration Date 2010-08-25
Last Update Date 2020-04-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1070 LA Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
1070 LA Behavioral Health & Social Service Providers

Office Location

Street Address 105 BARCLAY RD
City NEWPORT NEWS
State VA
Zip Code 23606-1403

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1730651282 Asia Denise Gordon Family Medicine 12715 Warwick Blvd # M&o, Newport News, VA 23606 2018-12-21
1447732870 Jean Ann Kimbrel Counselor 105 Nat Turner Blvd, Newport News, VA 23606 2018-09-01
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1962858944 Helen G Arnold Family Medicine 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 2016-05-10
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558973131 Saharay Elizabeth Martinez Psychologist 26 Zenith Loop, Newport News, VA 23601-1270 2020-08-17
1518472760 Stacey Webber Villanueva Psychologist 823 Lipton Dr, Newport News, VA 23608-3114 2017-12-11
1033622121 Patricia Jones Psychologist 8 San Jose Dr, Newport News, VA 23606-3508 2017-11-10
1558759274 Passion of Resilience Counseling Center, LLC Psychologist 11835 Canon Blvd Ste B102, Newport News, VA 23606-2570 2015-01-05
1306278395 Christina Gabriela Mena Psychologist 8 San Jose Dr Ste 3e, Newport News, VA 23606-3508 2013-08-01
1700111341 Amaya A. Rucker Psychologist 11835 Canon Blvd, Suite B-102, Newport News, VA 23606-2570 2009-10-15
1386800951 Ramona L Watson Psychologist 11838 Rock Landing Dr, Ste. 145, Newport News, VA 23606-4232 2008-08-04
1093867640 Kirsten Montgomery Betak Psychologist Medical, PCu Ghw Bush Cvn77, Supship Newport News, 4101 Washington Ave, Bldg 2, Newport News, VA 23607 2007-01-16
1316035975 Fredrick P. Frieden Psychologist 12695 Mcmanus Blvd., Bldg 8, Newport News, VA 23602-4442 2006-10-10
1467558304 Behavioral Medicine Institute Psychologist 606 Denbigh Blvd Ste 100, Newport News, VA 23608-4413 2006-09-16
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Competitor

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City NEWPORT NEWS
Zip Code 23606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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