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NPI Code Detail

MEDICARE: WESTBROOK BEHAVIORAL ASSOCIATES

MEDICARE: WESTBROOK BEHAVIORAL ASSOCIATES
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1447307673
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTBROOK BEHAVIORAL ASSOCIATES
Provider Business Mailing Address
First Line : 1601 ROLLING HILLS DR
Second Line : SUITE 201
City : RICHMOND
State : VA
Zip : 23229-5011
Country : US
Telephone Number : 804-270-4100
Fax Number : 804-270-7661
Provider Business Practice Location Address
First Line : 1601 ROLLING HILLS DR
Second Line : SUITE 201
City : RICHMOND
State : VA
Zip : 23229-5011
Country : US
Telephone Number : 804-270-4100
Fax Number : 804-270-7661
Authorized Official
Title or Position : BILLING MANAGER
Name : CHRISTI MADDOX
Credential :
Telephone Number : 678-343-7325
Provider Enumeration Date : 01/03/2007
Last Update Date : 08/01/2008

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Directions to “WESTBROOK BEHAVIORAL ASSOCIATES ” Practice Location

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