Individual
DR. JESSICA MARIE BOLGER MELCHIORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
10332 JASON RD, NORTH CHESTERFIELD, VA 23235-2628
(804) 683-1114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004910
VA
103TC0700X
Clinical Psychologist
PSY1000914
DC
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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