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Individual

DR. F DANIEL MCCLURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD LCP

Contact information

Practice address
922 9 1/2 ST NE, CHARLOTTESVILLE, VA 22902
(434) 295-0868
(434) 977-6323
Mailing address
922 9 1/2 ST NE, CHARLOTTESVILLE, VA 22902
(434) 295-0868
(434) 977-6323

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001209
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055741
ANTHEM
VA
Enumeration date
08/26/2006
Last updated
07/08/2007
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