Individual
DR. DAVID B DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
561 HIGH ST, PETERSBURG, VA 23803-3859
(804) 760-8232
(508) 433-1871
Mailing address
PO BOX 2406, PETERSBURG, VA 23804-2406
(804) 760-8232
(508) 433-1871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002009
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191421
ANTHEM
VA
01
—
207906000
MAGELLAN
VA
01
—
2198856
CIGNA
VA
01
—
396675
VALUE OPTIONS
VA
Enumeration date
07/21/2006
Last updated
10/22/2024
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