MEDICARE: ELIZABETH ANN BRILL PH.D., LCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810003263	VA

General Provider Information

NPI Number	:	1427116946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN BRILL PH.D., LCP

Provider Business Mailing Address
First Line	:	2025 E MAIN ST STE 202
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-7073
Country	:	US
Telephone Number	:	804-386-5640
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 E MAIN ST STE 202
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-7073
Country	:	US
Telephone Number	:	804-386-5640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	11/06/2025

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