Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 0810005153 | VA |
N | 103TC0700X | Clinical Psychologist | 0810005153 | VA |
Y | 103G00000X | Clinical Psychologist | 0810005153 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810005153 | VA |
N | 103TR0400X | Rehabilitation Psychologist | 0810005153 | VA |
NPI | 1144570946 |
---|---|
Provider Name | Ana Lindsey Mills |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2012 |
Last Update Date | 09/12/2015 |