Individual
DR. DAVID ROBERT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9942
(877) 874-1008
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9043
(804) 734-9188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001289
VA
103TC0700X
Clinical Psychologist
5241
MN
Other
Enumeration date
08/13/2010
Last updated
04/21/2011
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