Organization
TIKVAH LLC
Active
Organization
TIKVAH LLC
Active
Other names
Tikvah Collaborative Practices
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA R WEISMAN PSY.D. (OWNER)
(804) 252-0512
Entity
Organization
Contact information
Practice address
8923 OLD HOLLY RD, RICHMOND, VA 23235
(804) 252-0512
Mailing address
2711 BUFORD RD # 129, NORTH CHESTERFIELD, VA 23235-2423
(804) 252-0512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010314348
—
VA
Enumeration date
09/01/2022
Last updated
09/01/2022
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