Robert Alan Petry Pc

NPI 1104151125 - Psychologist - 103TC0700X

NPI Details
NPI 1104151125
Enumeration Date 10/08/2009
Last Updated 04/22/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROBERT ALAN ROBERT
Position OWNER
Phone (804) 320-7738
Fax (804) 320-8738
Practice Location
6964 FOREST HILL AVE
RICHMOND VA, 23225-1659, US
Phone (804) 320-7738
Fax (804) 320-8738
Business Location
6964 FOREST HILL AVE
RICHMOND VA, 23225-1659, US
Phone (804) 320-7738
Fax (804) 320-8738
Toxanomy
Taxonomy Code 103TC0700X
License State Virginia
License Number 0810002340
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According to our database, Robert Alan Petry Pc NPI is 1104151125, taxonomy code is 103TC0700X and license number is 0810002340, license state is located at Virginia. Robert Alan Petry Pc physically located at 6964 Forest Hill Ave, Richmond VA, 23225-1659. NPI Number 1033115704 has the healthcare provider type.

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1104151125 NPI number is provided on an as is basis without warranty of any kind. 1104151125 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Alan Petry Pc are for informational purposes only.