SearchVirginia103TC0700X

Mathias Soucek, PSYD

NPI 1174242689 · on the registry since 2022 · sole proprietor

Practice

Address
1210 Progressive Dr Ste 101
Chesapeake, VA 23320
Phone
(757) 386-4578
Fax
(757) 386-4604
Organisation at this address
Tis Home Care
New Health Llc
Tis Homecare, Inc
Therapeutic Intervention Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia