Individual
RACHEL KELLY BANGIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23224-4915
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-3390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005959
VA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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