Organization
THE UP FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R STEWART (OWNER)
(434) 426-6643
Entity
Organization
Contact information
Practice address
2420 MEMORIAL AVE, LYNCHBURG, VA 24501-2620
(434) 426-6643
Mailing address
2420 MEMORIAL AVE, LYNCHBURG, VA 24501-2620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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