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Individual

DR. ANDREW JACKSON BILLUPS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
48 SOUTH MAIN STREET, KILMARNOCK, VA 22482-2234
(804) 435-6777
(804) 435-6789
Mailing address
48 SOUTH MAIN STREET, BOX 2234, KILMARNOCK, VA 22482-2234
(804) 435-6777
(804) 435-6789

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001192
VA

Other

Enumeration date
07/03/2006
Last updated
07/31/2012
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