Organization
CENTRAL VIRGINIA FAMILY PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W WOOLDRIDGE JR. MD (PRESIDENT)
(804) 732-1527
Entity
Organization
Contact information
Practice address
43 RIVES RD, SUITE B, PETERSBURG, VA 23805-9255
(804) 732-1527
(804) 732-8210
Mailing address
PO BOX 11786, RICHMOND, VA 23230-0186
(804) 672-4836
(804) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08729
GROUP MEDICARE NUMBER
—
Enumeration date
03/20/2006
Last updated
03/18/2010
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