Individual
DR. ALAN DAVID ENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1805 MONUMENT AVE STE 510, RICHMOND, VA 23220-7005
(804) 359-0109
Mailing address
1805 MONUMENT AVE STE 510, RICHMOND, VA 23220-7005
(804) 359-0109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810000606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7712952
—
VA
Enumeration date
04/22/2007
Last updated
07/08/2007
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