Individual
DR. PHYLLIS REBECCA KOCH-SHERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
211 W MAIN ST, 2ND FLOOR, CHARLOTTESVILLE, VA 22902-5033
(434) 971-4701
(434) 973-3536
Mailing address
211 W MAIN ST, 2ND FLOOR, CHARLOTTESVILLE, VA 22902-5033
(434) 971-4701
(434) 973-3536
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000851
VA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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