Individual
DR. REVA KATHERINE BOOTH O'HALLARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
708 MOBJACK PL, NEWPORT NEWS, VA 23606-1957
(757) 873-1958
Mailing address
228 RICHARD BURBYDGE, WILLIAMSBURG, VA 23185-5140
(705) 471-8082
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003845
VA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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