Individual
KADRA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4118 E PARHAM RD STE A, RICHMOND, VA 23228-2742
(804) 591-0002
Mailing address
4118 E PARHAM RD STE A, RICHMOND, VA 23228-2742
(804) 591-0002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005112
VA
Other
Enumeration date
11/19/2014
Last updated
04/12/2018
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