Individual
DONNA TERESA PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3215 ROCK CREEK VILLA DR, QUINTON, VA 23141-1656
(804) 314-9462
Mailing address
3215 ROCK CREEK VILLA DR, QUINTON, VA 23141-1656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007710747
—
VA
Enumeration date
10/12/2006
Last updated
09/21/2022
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