Organization
ASSOCIATED EDUCATIONS SERVICES OF VA., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA WOOD HENSLEY (BUSINESS MANAGER)
(804) 321-2777
Entity
Organization
Contact information
Practice address
2817 NORTH AVE, RICHMOND, VA 23222-3610
(804) 321-2777
(804) 321-0920
Mailing address
2817 NORTH AVE, RICHMOND, VA 23222-3610
(804) 321-2777
(804) 321-0920
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
BA2096483
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174612709
—
VA
Enumeration date
05/27/2008
Last updated
05/27/2008
Update your record
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