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Individual

DR. DAVID L DEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3210 CHURCHLAND BLVD, SUITE 4, CHESAPEAKE, VA 23321-5253
(757) 483-3340
(757) 483-0461
Mailing address
234 N BLAKE RD, NORFOLK, VA 23505-4404
(757) 423-6331

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000797
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138540
ANTHEM
VA
01
84273M
SENTARA
VA
Enumeration date
08/15/2006
Last updated
07/08/2007
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