Individual
JOHN CHRISTIAN COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
9515 CATESBY LN, RICHMOND, VA 23238-4453
(804) 741-7500
(804) 741-7900
Mailing address
9515 CATESBY LN, RICHMOND, VA 23238-4453
(804) 741-7500
(804) 741-7900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002516
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007712588
—
VA
01
—
291855
BCBS
VA
01
—
680001531
PTAN
VA
Enumeration date
05/12/2006
Last updated
02/19/2013
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