Individual
DR. KATHERINE MARIE MACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17 E MAIN ST, RICHMOND, VA 23219-2109
(804) 728-0072
Mailing address
3323 FLOYD AVE, RICHMOND, VA 23221-2905
(804) 314-7735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003406
VA
Other
Enumeration date
06/26/2008
Last updated
10/04/2023
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