Organization
CHARLOTTESVILLE INTEGRATED PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN STEPHENS MD (OWNER)
(434) 996-7605
Entity
Organization
Contact information
Practice address
154 HANSEN RD STE 103, CHARLOTTESVILLE, VA 22911-8839
(434) 996-7605
Mailing address
154 HANSEN RD STE 103, CHARLOTTESVILLE, VA 22911-8839
(434) 218-0405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
08/19/2021
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