Healthcare Provider Details

I. General information

NPI: 1003672296
Provider Name (Legal Business Name): DAISY KATE BEDSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 MIDLOTHIAN TPKE STE 127
NORTH CHESTERFIELD VA
23235-4776
US

IV. Provider business mailing address

10710 MIDLOTHIAN TPKE
NORTH CHESTERFIELD VA
23235-4722
US

V. Phone/Fax

Practice location:
  • Phone: 804-243-8395
  • Fax:
Mailing address:
  • Phone: 804-243-8395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: