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Organization

ADVANCED PSYCHOTHERAPEUTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY H BARCLAY PHD (DIRECTOR)
(434) 616-2388
Entity
Organization

Contact information

Practice address
1047 VISTA PARK DR STE A, FOREST, VA 24551-4362
(434) 616-2388
Mailing address
1047 VISTA PARK DR STE A, FOREST, VA 24551-4362
(434) 616-2388

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
0810004569
VA
103TP2701X
Group Psychotherapy Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972591071
INDIVIDUAL
VA
Enumeration date
06/25/2015
Last updated
01/06/2017
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