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Organization

KRYSTAL NOWAK PSYCHOLOGY LLC

Active
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Organization

KRYSTAL NOWAK PSYCHOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRYSTAL STUDIVANT NOWAK PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(804) 719-1955
Entity
Organization

Contact information

Practice address
4920 MILLRIDGE PKWY E, SUITE 206, MIDLOTHIAN, VA 23112-4857
(804) 719-1955
Mailing address
4920 MILLRIDGE PKWY E, SUITE 206, MIDLOTHIAN, VA 23112-4857

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005486
VA

Other

Enumeration date
03/30/2017
Last updated
03/30/2017
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