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Individual

DR. CHRISTINE MARLOW REPPUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
420 3RD ST NE, CHARLOTTESVILLE, VA 22902-4620
(434) 979-0671
(434) 979-1762
Mailing address
420 3RD ST NE, CHARLOTTESVILLE, VA 22902-4620
(434) 979-0671
(434) 979-1762

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000828
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060405
ANTHEM BLUE CROSS/BLUE SH
VA
01
082270
SENTARA BEHAVIORAL HEALTH
VA
05
7727798
VA
Enumeration date
08/25/2006
Last updated
07/08/2007
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