Individual
DR. RUTH CHRISTINE CHANAN BROWN-ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LCP
Contact information
Practice address
1308 SHERWOOD AVE, RICHMOND, VA 23220-1210
(804) 828-3129
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810008104
VA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
06/15/2023
Last updated
01/24/2024
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