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Organization
POEHAILOS DUPONT & ASSOC
Active
Organization
POEHAILOS DUPONT & ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP D DUPONT PHD (MANAGER)
(434) 220-4686
Entity
Organization
Contact information
Practice address
887B RIO EAST COURT, CHARLOTTESVILLE, VA 22901
(434) 220-4686
(434) 220-4687
Mailing address
887B RIO EAST COURT, CHARLOTTESVILLE, VA 22901
(434) 220-4686
(434) 220-4687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701002481
VA
103T00000X
Psychologist
0810002867
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810001910
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810002135
VA
1041C0700X
Clinical Social Worker
0904000547
VA
1041C0700X
Clinical Social Worker
0904003837
VA
1041C0700X
Clinical Social Worker
Primary
0904006301
VA
2084P0800X
Psychiatry Physician
0101233438
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101047223
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YP2500X
PSYCHOLOGIST CHILD, YOUTH
VA
Enumeration date
09/14/2006
Last updated
09/11/2025
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