Individual
DR. RICHARD P. BINDEWALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, PHD
Contact information
Practice address
110 HENRY STREET, GRETNA, VA 24557-4201
(434) 836-2260
(434) 836-1783
Mailing address
P.O. BOX 1279, GRETNA, VA 24557-1279
(434) 836-2260
(434) 836-1783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810001193
VA
103TC0700X
Clinical Psychologist
Primary
0810001193
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007714611
—
VA
Enumeration date
05/27/2006
Last updated
08/28/2023
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