| Central Virginia Family Psychiatry Pc | |
|
43 Rives Rd Suite B Petersburg VA 23805-9255 | |
| (804) 732-1527 | |
| (804) 732-8210 |
| Full Name | Central Virginia Family Psychiatry Pc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 43 Rives Rd, Petersburg, Virginia |
| Authorized Official Name and Position | James W Wooldridge (PRESIDENT) |
| Authorized Official Contact | 8047321527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Virginia Family Psychiatry Pc Po Box 11786 Richmond VA 23230-0186 Ph: (804) 672-4836 | Central Virginia Family Psychiatry Pc 43 Rives Rd Suite B Petersburg VA 23805-9255 Ph: (804) 732-1527 |
| NPI Number | 1477512416 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477512416 | NPI | - | NPPES |
| C08729 | Other | GROUP MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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