Individual
DR. TERESA ANN BUCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH,D.
Contact information
Practice address
1241 MALL DR, RICHMOND, VA 23235-4737
(804) 794-5928
(804) 379-6385
Mailing address
1241 MALL DR, RICHMOND, VA 23235-4737
(804) 794-5928
(804) 379-6385
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001121
VA
Other
Enumeration date
05/13/2006
Last updated
06/23/2010
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