| Nancy Macconnachie, Ph.d., Inc. | |
|
5821 Staples Mill Rd Richmond VA 23228-5427 | |
| (804) 264-0966 | |
| (804) 264-1029 |
| Full Name | Nancy Macconnachie, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 5821 Staples Mill Rd, Richmond, Virginia |
| Authorized Official Name and Position | Nancy Macconnachie (PRESIDENT) |
| Authorized Official Contact | 8042640966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Macconnachie, Ph.d., Inc. 5821 Staples Mill Rd Richmond VA 23228-5427 Ph: (804) 264-0966 | Nancy Macconnachie, Ph.d., Inc. 5821 Staples Mill Rd Richmond VA 23228-5427 Ph: (804) 264-0966 |
| NPI Number | 1003869546 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 06/21/2010 |
| Medicare PECOS PAC ID | 3870666928 |
|---|---|
| Medicare Enrollment ID | O20080722000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003869546 | NPI | - | NPPES |
| 080290 | Other | VA | SOUTHERN HEALTH/SENTARA |
| 007751338 | Medicaid | VA | |
| 177062 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 00810001700 (Virginia) | Primary |
| Provider Name | Nancy Macconnachie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386820470 PECOS PAC ID: 3173696226 Enrollment ID: I20080722000666 |
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