Doctor Name: | OLIVIA ACREE |
NPI Number: | 1013378009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S. |
License Number: | 0803000254 |
Business Practice Address: | 8719 Forest Hill Ave North Chesterfield, VA - 232352431 |
Business Phone Number: | 8044028426 |
Business Fax Number: | |
Mailing Address: | 8605 Seldondale Ln, RICHMOND |
State: | VA |
Postal Code: | 232297241 |
Phone Number: | 8044028426 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2016 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 0803000254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |