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Individual

DR. ALAN THOMAS VON KLEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1215 MALL DR, NORTH CHESTERFIELD, VA 23235-4737
(804) 594-3690
(804) 794-7374
Mailing address
1215 MALL DR, NORTH CHESTERFIELD, VA 23235-4737
(804) 594-3690
(804) 794-7374

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810004544
VA
103TC0700X
Clinical Psychologist
0810004544
VA
103TF0200X
Forensic Psychologist
0810004544
VA
103TH0004X
Health Psychologist
0810004544

Other

Enumeration date
02/20/2012
Last updated
07/18/2025
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