Individual
KATHLEEN L. FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2706
(434) 924-9068
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810002939
VA
103T00000X
Psychologist
0810002939
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007713509
—
VA
Enumeration date
11/07/2006
Last updated
08/09/2023
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