Individual
MITCHELL C. REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
3036 WADDINGTON DR, NORTH CHESTERFIELD, VA 23224-5724
(804) 343-7646
(804) 819-5221
Mailing address
3036 WADDINGTON DR, NORTH CHESTERFIELD, VA 23224-5724
(804) 343-7646
(804) 819-5221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004560
VA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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