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

Lakeside Psychological Center PC

Organization Psychologist · NPI 1104044528

Lakeside Psychological Center PC is a Psychologist in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3076 Brickhouse Ct
Virginia Beach, VA 23452-6859
Phone: (757) 486-0909
Fax: (757) 340-7518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 90801000970 (VA)

Record details

NPI number1104044528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Stevens — President, Psychologist · (757) 486-0909
NPI enumeratedApril 23, 2007
Last updated in NPPESSeptember 1, 2010
Mailing address3076 Brickhouse Ct, Virginia Beach, VA 23452-6859

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