| Albemarle Dynamic Psychiatry Llc | |
|
325 Four Leaf Ln Ste 12 Charlottesville VA 22903-9203 | |
| (434) 466-1588 | |
| (866) 289-5249 |
| Full Name | Albemarle Dynamic Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 325 Four Leaf Ln Ste 12, Charlottesville, Virginia |
| Authorized Official Name and Position | Benjamin Stephens (OWNER) |
| Authorized Official Contact | 4349967605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albemarle Dynamic Psychiatry Llc Po Box 28 Crozet VA 22932-0028 Ph: (434) 996-7605 | Albemarle Dynamic Psychiatry Llc 325 Four Leaf Ln Ste 12 Charlottesville VA 22903-9203 Ph: (434) 466-1588 |
| NPI Number | 1093383259 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093383259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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