Individual
DR. JESSICA C. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1300 E MARSHALL ST, NORTH HOSPITAL, 2ND FLOOR, ROOM B2007, RICHMOND, VA 23298-5054
(804) 628-8758
Mailing address
57 MALVERN AVE APT 6, RICHMOND, VA 23221-2667
(785) 865-3597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004198
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810004198
COMMONWEALTH OF VIRGINIA, DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF PSYCHOLOGY
VA
Enumeration date
01/22/2010
Last updated
01/22/2010
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