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Individual

JULIE CIOCCO NEBLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2924 BROOK RD, CHILDREN'S HOSPITAL, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Mailing address
2924 BROOK RD, CHILDREN'S HOSPITAL CREDENTIALING DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000318
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007712791
VA
Enumeration date
10/12/2006
Last updated
09/21/2010
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