| Krystal Nowak Psychology Llc | |
|
4920 Millridge Pkwy E Suite 206 Midlothian VA 23112-4857 | |
| (804) 719-1955 | |
| Not Available |
| Full Name | Krystal Nowak Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4920 Millridge Pkwy E, Midlothian, Virginia |
| Authorized Official Name and Position | Krystal Studivant Nowak (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8047191955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Nowak Psychology Llc 4920 Millridge Pkwy E Suite 206 Midlothian VA 23112-4857 Ph: () - | Krystal Nowak Psychology Llc 4920 Millridge Pkwy E Suite 206 Midlothian VA 23112-4857 Ph: (804) 719-1955 |
| NPI Number | 1639601461 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639601461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810005486 (Virginia) | Primary |
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