Individual
GARY PELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2000 MICHIE DR, CHARLOTTESVILLE, VA 22901-2821
(434) 970-2129
Mailing address
502 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6550
(434) 972-1800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
VA
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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