Individual
DR. NATHANIEL ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
719 MICHELLE DR, NEWPORT NEWS, VA 23601-4627
(412) 721-1052
Mailing address
719 MICHELLE DR, NEWPORT NEWS, VA 23601-4627
(412) 721-1052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006835
VA
Other
Enumeration date
06/25/2020
Last updated
07/22/2021
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