Individual
SUSAN EICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3712 OLD FOREST RD STE 500, LYNCHBURG, VA 24501-6959
(434) 385-0744
Mailing address
3043 SMOKY HOLLOW RD, LYNCHBURG, VA 24504-4347
(434) 993-8124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
081003103
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
01
—
386224
ANTHEM BLUE SHIELD
VA
01
—
P60607
UPIN
VA
Enumeration date
09/28/2006
Last updated
10/12/2021
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