Individual
LAURA CACCAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2303 N PARHAM RD, RICHMOND, VA 23229-3102
(804) 527-4782
Mailing address
2303 N PARHAM RD, HENRICO, VA 23229-3102
(804) 527-4782
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006062
VA
Other
Enumeration date
10/02/2014
Last updated
01/28/2021
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