Individual
KATHRYN ROSE HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2123 ROSEWOOD AVENUE, RICHMOND, VA 23220
(973) 978-7648
Mailing address
2123 ROSEWOOD AVENUE, RICHMOND, VA 23220
(973) 978-7648
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2013
Last updated
07/07/2014
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