Individual
LORING TYLER MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12305 COLLINSTONE PL, GLEN ALLEN, VA 23059-7105
(804) 432-0817
Mailing address
12305 COLLINSTONE PL, GLEN ALLEN, VA 23059-7105
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003280
VA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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