Organization · Type 2 NPI

Bon Secours-St. Mary's Hospital of Richmond, Inc.

Psychologist · Richmond, VA

NPI number 1639430093 Active

Practice location

5855 Bremo Rd Ste 404, Mob North
Richmond, VA 23226-1924

Fax (804) 287-7525

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	None listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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NPI record

NPI: 1639430093
Entity type: Organization (Type 2)
Issued: Jun 1, 2012
Last updated: Oct 24, 2018
Status: Active

Other names

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Bon Secours Behavioral Health Group at St. Mary's · doing business as
Bon Secours Behavioral Health Group at St. Mary's · doing business as

Authorized official

George Butler
Director Corporate Responsibilty
(804) 281-0271

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639430093

Bon Secours-St. Mary's Hospital of Richmond, Inc.'s National Provider Identifier is 1639430093, issued on Jun 1, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Richmond, VA. The record was last updated on Oct 24, 2018.