MEDICARE: DR. STEVEN WALKER NOLES PSYD

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
1	103TC0700X	Clinical Psychologist	0107001476	VA

General Provider Information

NPI Number	:	1851334320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN WALKER NOLES PSYD

Provider Business Mailing Address
First Line	:	703 N COURTHOUSE RD
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23236-4069
Country	:	US
Telephone Number	:	804-794-4482
Fax Number	:	804-379-7578

Provider Business Practice Location Address
First Line	:	703 N COURTHOUSE RD
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23236-4069
Country	:	US
Telephone Number	:	804-794-4482
Fax Number	:	804-379-7578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/08/2007

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