Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810003984 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810003984 | VA |
NPI | 1003147935 |
---|---|
Provider Name | Dr. Jennifer Buck Rice |
First Address | New Kent, VA 23124-2029 |
Second Address | New Kent, VA 23124-2029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2010 |
Last Update Date | 15/01/2010 |