Provider Demographics
NPI:1588763643
Name:HEMBREE, JANICE DEE (PHD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:DEE
Last Name:HEMBREE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JAN
Other - Middle Name:D
Other - Last Name:HEMBREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3694 VIRGINIA RAIL DR
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23140-4533
Mailing Address - Country:US
Mailing Address - Phone:757-409-0800
Mailing Address - Fax:
Practice Address - Street 1:217 MCLAWS CIR STE 2
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5855
Practice Address - Country:US
Practice Address - Phone:757-253-0371
Practice Address - Fax:757-253-8063
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000961103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7755554Medicaid
VA680000960Medicare ID - Type Unspecified