Individual ProviderKay M DicharryPsychologistBehavioral Health & Social Service ProvidersPractice Address102 Heritage Way NE, Suite 302, Leesburg, VA 20176-4544(703) 771-5100PECOS EnrollmentBased on the most recent information from CMS, provider Kay M Dicharry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1396854022Provider TypeIndividualFull NameDicharry, Kay MTitleDr.CredentialPHD, LCPGenderFemaleSole ProprietorYesEnumeration Date8/29/2006Last Updated9/7/2007Contact InformationPractice LocationPractice Address102 Heritage Way NE, Suite 302, Leesburg, VA 20176-4544Phone(703) 771-5100Fax(703) 777-0170Mailing LocationMailing Address102 Heritage Way NE Ste 302, Leesburg, VA 20176-4544Phone(703) 771-5100Fax(703) 777-0170Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense0810000290VirginiaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701002492VirginiaProvider IdentifiersIDDescriptionIssuerID287547DescriptionOtherIssuerANTHEM, LEESBURGVirginiaID287548DescriptionOtherIssuerANTHEM, ELMHCVirginiaID293874DescriptionOtherIssuerAMERIGROUPVirginia