Individual
DR. JAMES ALLEN CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LCP
Contact information
Practice address
320A CHARLES DIMMOCK PARKWAY, SUITE 4, COLONIAL HEIGHTS, VA 23834
(804) 520-5485
(804) 520-6329
Mailing address
320A CHARLES DIMMOCK PARKWAY, SUITE 4, COLONIAL HEIGHTS, VA 23834
(804) 520-5485
(804) 520-6329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001723
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007712251
—
VA
Enumeration date
03/08/2006
Last updated
05/28/2008
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