William David Brock in Richmond - Clinical
William David Brock - NPI 1336161520
William David Brock is a Clinical in Richmond, Virginia. William David Brock practices all healthcare services and medical treatments related to Clinical. The NPI Number for William David Brock is 1336161520. The last update date is 2007-07-09.
William David Brock's current location address is 1241 Mall Dr, Richmond, Virginia. You can contact this provider via phone number 8047948828 and fax number 8047944735. The mailing address for William David Brock is 1241 Mall Dr, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William David Brock |
|---|---|
| Address | 1241 Mall Dr, Richmond, Virginia |
| Phone Number | 8047948828 |
| Fax Number | 8047944735 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336161520 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1241 Mall Dr |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232354737 |
| Phone Number | 8047948828 |
| Fax Number | 8047944735 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1399 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7755163 | VA | -- | |
| O39287 | ANTHEM PROVIDER NUMBER |
Post Comment/ Review Below
What is the William David Brock's unique identification number?
The William David Brock has been assigned the NPI (National Provider Identifier) Number 1336161520 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of William David Brock?
The William David Brock is physically situated at 1241 Mall Dr, in the city of Richmond, state of VA, with the postal code 232354737.
What is the William David Brock's area of specialization and corresponding taxonomy classification?
The William David Brock's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1336161520 to William David Brock?
The Centers for Medicare & Medicaid Services assigned the 1336161520 to William David Brock on 2006-07-24.
When was the William David Brock's information last updated?
The William David Brock's information was last updated on 2007-07-09.
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