Individual
DR. NINO CHKHAIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
1410 INCARNATION DR # 205, CHARLOTTESVILLE, VA 22901-5708
(434) 293-4262
Mailing address
116 LOMA LN, CHARLOTTESVILLE, VA 22902-6430
(540) 209-0490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005923
VA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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