Organization
COUNSELING & DIAGNOSTIC SERVICES
Active
Organization
COUNSELING & DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ROBERT BRAEN PH.D. (CLINICAL PSYCHOLOGIST)
(804) 840-6184
Entity
Organization
Contact information
Practice address
13801 VILLAGE MILL DR STE 105, MIDLOTHIAN, VA 23114-4382
(804) 840-6184
(804) 592-2667
Mailing address
10216 PEPPERHILL LN, RICHMOND, VA 23238-3835
(804) 840-6184
(804) 592-2667
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002140
VA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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