Organization
RICHMOND ASSESSMENT AND REFERRAL, A PROFESSIONAL LIMITED COMPANY
Active
Organization
RICHMOND ASSESSMENT AND REFERRAL, A PROFESSIONAL LIMITED COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN M KILGOUR JR. PH.D. (CLINICAL PSYCHOLOGIST)
(804) 592-5300
Entity
Organization
Contact information
Practice address
7605 FOREST AVE, SUITE 414, RICHMOND, VA 23229-4938
(804) 592-5300
(804) 592-5301
Mailing address
7605 FOREST AVE, SUITE 414, RICHMOND, VA 23229-4938
(804) 592-5300
(804) 592-5301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
S297122-6
VA
Other
Enumeration date
08/13/2009
Last updated
12/01/2010
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