Individual
EVAN PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PHD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-4502
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0810008269
VA
Other
Enumeration date
09/11/2017
Last updated
12/19/2024
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