Healthcare Provider Details

I. General information

NPI: 1942264593
Provider Name (Legal Business Name): RICHARD ALAN PFEFFER EDD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 GASKINS ROAD SUITE 106
RICHMOND VA
23238
US

IV. Provider business mailing address

1145 GASKINS ROAD SUITE 106
RICHMOND VA
23238
US

V. Phone/Fax

Practice location:
  • Phone: 804-750-2404
  • Fax: 804-762-8711
Mailing address:
  • Phone: 804-750-2404
  • Fax: 804-762-8711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701001665
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000843
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: