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Individual

CHRISTINA VITEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8801 NESSLEWOOD DR, HENRICO, VA 23229-3155
(804) 527-4620
Mailing address
1612 DENHAM RD, HENRICO, VA 23229-3946
(804) 402-3707

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0813000414
COMMONWEALTH OF VIRGINIA BOARD OF PSYCHOLOGY
VA
Enumeration date
08/07/2017
Last updated
08/07/2017
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