Individual
JENNINE LOWE MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-3375
Mailing address
9376 ATLEE STATION RD, HANOVER FAMILY PHYSICIANS PC, MECHANICSVILLE, VA 23116
(804) 730-0990
(804) 730-3375
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810002077
VA
Other
Enumeration date
08/15/2006
Last updated
06/19/2015
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