Individual
DR. JESSICA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2590 GASKINS RD STE C, RICHMOND, VA 23238-1404
(804) 215-7968
Mailing address
2590 GASKINS RD STE C, RICHMOND, VA 23238-1404
(804) 215-7968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006254
VA
Other
Enumeration date
09/04/2019
Last updated
07/18/2024
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