Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810005879 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810005879 | VA |
NPI | 1003323981 |
---|---|
Provider Name | Sarah Buchheit Reyes |
First Address | Richmond, VA 23219-2431 |
Second Address | Richmond, VA 23219-2431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2018 |
Last Update Date | 02/01/2018 |