Individual
DR. JEFFREY S KREUTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1200 E MARSHALL STREET, PHYSICAL MEDICINE & REHAB, RICHMOND, VA 23298-0677
(804) 828-0231
(804) 828-2378
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
0810001170
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7767471
—
VA
Enumeration date
07/14/2006
Last updated
07/08/2007
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