Virginia Institute For Interpersonal Development, Pllc

NPI 1164596888 - Clinic/Center - 261QM0801X

NPI Details
NPI 1164596888
Enumeration Date 11/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VICKI VICKI
Position CLINICAL PSYCHOLOGIST - DIRECTOR
Phone (804) 308-9133
Fax (804) 273-0851
Practice Location
3212 SKIPWITH RD
SUITE 104
RICHMOND VA, 23294-4413, US
Phone (804) 308-9133
Fax (804) 273-0851
Business Location
13204 THORNRIDGE LN
MIDLOTHIAN VA, 23112-4836, US
Phone (804) 308-9133
Fax (804) 273-0851
Toxanomy
Taxonomy Code 261QM0801X
License State Virginia
License Number 0830003638
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According to our database, Virginia Institute For Interpersonal Development, Pllc NPI is 1164596888, taxonomy code is 261QM0801X and license number is 0830003638, license state is located at Virginia. Virginia Institute For Interpersonal Development, Pllc physically located at 3212 Skipwith Rd, Richmond VA, 23294-4413. NPI Number 1033115704 has the healthcare provider type.

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1164596888 NPI number is provided on an as is basis without warranty of any kind. 1164596888 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Institute For Interpersonal Development, Pllc are for informational purposes only.