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Organization

LIBBIE PSYCHOLOGICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID LOWELL NIEMEIER PH.D. (VICE PRESIDENT)
(804) 288-1464
Entity
Organization

Contact information

Practice address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 288-1464
Mailing address
PO BOX 3160, MECHANICSVILLE, VA 23116-0028
(804) 288-1464

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7718705
VA
Enumeration date
04/22/2007
Last updated
08/19/2007
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