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NPI Code Detail

MEDICARE: DR. DONALD P OSWALD PH.D.

MEDICARE: DR. DONALD P OSWALD PH.D.
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
1103TC0700XClinical Psychologist0810001811VA
2103TC2200XClinical Child & Adolescent Psychologist0810001811VA

General Provider Information

NPI Number : 1811078934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD P OSWALD PH.D.
Provider Business Mailing Address
First Line : 4108 E PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2754
Country : US
Telephone Number : 804-355-0300
Fax Number : 804-355-0932
Provider Business Practice Location Address
First Line : 4108 E PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-2754
Country : US
Telephone Number : 804-355-0300
Fax Number : 804-355-0932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 06/21/2016

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