Organization
HEARTHSTONE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENICE A BURCHARD PSY.D. (LICENSED CLINICAL PSYCHOLOGIST/CEO)
(804) 720-6207
Entity
Organization
Contact information
Practice address
3110 GREENWOOD AVE, COLONIAL HEIGHTS, VA 23834-2953
(804) 720-6207
Mailing address
1202 COVINGTON RD, COLONIAL HEIGHTS, VA 23834-2716
(804) 720-6207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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