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Individual

DR. PATRICIA B GRIGORYEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
108 HOLBROOK ST, SUITE 203, DANVILLE, VA 24541-1758
(434) 791-2059
(434) 791-2835
Mailing address
108 HOLBROOK ST, SUITE 203, DANVILLE, VA 24541-1758
(434) 791-2059
(434) 791-2835

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002561
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007700296
VA
Enumeration date
09/22/2006
Last updated
07/08/2007
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