Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 0803000254 | VA |
NPI | 1013378009 |
---|---|
Provider Name | Olivia Acree |
First Address | Richmond, VA 23229-7241 |
Second Address | North Chesterfield, VA 23235-2431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2016 |
Last Update Date | 17/03/2016 |