Organization Name: | NANCY MACCONNACHIE, PH.D., INC. |
NPI Number: | 1003869546 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY MACCONNACHIE (PRESIDENT) |
Mailing Address: | 5821 Staples Mill Rd Richmond |
State: | VA US |
Postal Code: | 232285427 |
Phone Number: | 8042640966 |
Fax Number: | 8042641029 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 00810001700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |