Individual
DR. NANCY MACCONNACHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029
Mailing address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 264-0966
(804) 264-1029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007751338
—
VA
Enumeration date
01/18/2008
Last updated
02/27/2014
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