Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Independence Child Therapy Services LLC

Organization Clinical Psychologist · NPI 1417232802

Independence Child Therapy Services LLC is a Clinical Psychologist in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4807A Lauderdale Ave
Virginia Beach, VA 23455-1364
Phone: (757) 460-2057
Fax: (757) 963-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810004468 (VA)

Record details

NPI number1417232802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Bourdon — Director · (757) 460-2057
NPI enumeratedOctober 17, 2011
Last updated in NPPESOctober 17, 2011
Mailing addressPo Box 55145, Virginia Beach, VA 23471-5145

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