Healthcare Provider Details

I. General information

NPI: 1043348741
Provider Name (Legal Business Name): WESTHAMPTON FAMILY PSYCHOLOGISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 SANTA ROSA RD STE. 105
RICHMOND VA
23229-5105
US

IV. Provider business mailing address

1503 SANTA ROSA RD STE. 105
RICHMOND VA
23229-5105
US

V. Phone/Fax

Practice location:
  • Phone: 804-673-0100
  • Fax: 804-673-0100
Mailing address:
  • Phone: 804-673-0100
  • Fax: 804-673-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISON WHITE TWENTE
Title or Position: FOUNDER, CO-OWNER
Credential:
Phone: 804-673-0100