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Organization

TUCKER PSYCHIATRIC CLINIC INC.

Active
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Organization

TUCKER PSYCHIATRIC CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID GOULD III M.D. (PRESIDENT)
(804) 320-7881
Entity
Organization

Contact information

Practice address
7149 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 320-7881
(804) 320-2050
Mailing address
7149 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 320-7881
(804) 320-2050

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—

Other

Enumeration date
09/13/2006
Last updated
02/28/2008
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