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Individual

ROBERT ALAN PETRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED CLINICAL PS

Contact information

Practice address
6964 FOREST HILL AVE, RICHMOND, VA 23225-1659
(804) 320-7738
(804) 320-8738
Mailing address
6964 FOREST HILL AVE, RICHMOND, VA 23225-1659
(804) 320-7738
(804) 320-8738

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002340
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7700199
VA
Enumeration date
10/12/2006
Last updated
04/24/2013
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