Individual
NANCY DEMORY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9515 CATESBY LN, RICHMOND, VA 23238-4453
(804) 741-7500
(804) 741-7900
Mailing address
545 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-3042
(804) 741-7500
(804) 741-7900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810001004
VA STATE MEDICAL LICENSE
VA
Enumeration date
09/03/2008
Last updated
10/11/2013
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