Individual
BAOZHEN XIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 KERRY LN, CHARLOTTESVILLE, VA 22901-2924
(434) 422-6273
Mailing address
111 KERRY LN, CHARLOTTESVILLE, VA 22901-2924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004068
VA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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