Individual
DAVID R RICHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH,D
Contact information
Practice address
680 RUSSELL RD, BOLIVAR, TN 38008-3573
(731) 658-7150
Mailing address
680 RUSSELL RD, BOLIVAR, TN 38008-3573
(731) 658-7150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001233
TN
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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