Individual
DR. TERRY WAYNE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3209 FOREST BROOK RD, LYNCHBURG, VA 24501-3001
(434) 385-0744
Mailing address
3209 FOREST BROOK RD, LYNCHBURG, VA 24501-3001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001866
VA
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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