Individual
DR. JANE M KUDLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1250 E MARSHALL STREET, PSYCHIATRY, RICHMOND, VA 23298-0510
(804) 828-8707
(804) 827-4998
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942381264
—
VA
Enumeration date
10/17/2006
Last updated
11/20/2007
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