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

Neuropsychological Services of Tidewater, LLC

Organization Clinical Neuropsychologist · NPI 1366956096

Neuropsychological Services of Tidewater, LLC is a Clinical Neuropsychologist in Virginia Beach, Virginia. Works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
2
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

2005 Pleasure House Rd
Virginia Beach, VA 23455
Phone: (757) 301-2248
Fax: (757) 689-8378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 575 Lynnhaven Pkwy Ste 278, Virginia Beach, VA 23452-7476 — (757) 301-2248
  • 575 Lynnhaven Pkwy Ste 278, Virginia Beach, VA 23452-7476 — (757) 301-2248

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 0810004265 (VA)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1366956096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Ducharme — Clinical Neuropsychologist · (757) 301-2248
NPI enumeratedNovember 16, 2017
Last updated in NPPESMarch 1, 2019
Mailing address2005 Pleasure House Rd, Virginia Beach, VA 23455-2709

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