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Individual

ERIKA UPDEGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
4701 COX RD, GLEN ALLEN, VA 23060-6802
(860) 788-6404
(860) 829-0495
Mailing address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(978) 762-8352

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022916
NY
222Q00000X
Developmental Therapist

Other

Enumeration date
09/07/2011
Last updated
04/22/2020
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