Healthcare Provider Details

I. General information

NPI: 1326071473
Provider Name (Legal Business Name): LORI F HEDRICK PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6722 PATTERSON AVE SUITE A ADDVANTAGE PLLC
RICHMOND VA
23226-3400
US

IV. Provider business mailing address

2804 SUNRISE CT
RICHMOND VA
23233-1605
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-9989
  • Fax: 804-282-9930
Mailing address:
  • Phone: 804-360-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003023
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0803000196
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: