Dr. John Frederick Childress III
Health Service Clinical Psychologist Clinical Child & Adolescent Psychologist
810 Westwood Office Park
Fredericksburg
, Virginia 22401-5121
Dr. John Frederick Childress III
Health Service Clinical Psychologist Clinical Child & Adolescent Psychologist
810 Westwood Office Park
Fredericksburg
, Virginia 22401-5121
(540) 374-3313
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. John Frederick Childress III
- 174 Hunting Green Ln
- Kents Store, VA
- Zip : 23084-2284
- Fax : (540) 374-3313
- Phone : (434) 591-1163
Second Address
- Dr. John Frederick Childress III
- 810 Westwood Office Park
- Fredericksburg, VA
- Zip : 22401-5121
- Fax : (540) 374-3313
- Phone : (540) 899-4025
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 0810002716 | VA |
| N | 103TC0700X | Clinical Psychologist | 0810002716 | VA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 0810002716 | VA |
| N | 103TH0100X | Health Service | 0810002716 | VA |
National Provider Identifier
| NPI | 1275551673 |
|---|---|
| Provider Name | Dr. John Frederick Childress III |
| First Address | Kents Store, VA 23084-2284 |
| Second Address | Fredericksburg, VA 22401-5121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.