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NPI Code Detail

MEDICARE: MS. PATRICIA LEIGH WINTERBERGER BROCK LPC

MEDICARE:  MS. PATRICIA LEIGH WINTERBERGER BROCK  LPC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1962515114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA LEIGH WINTERBERGER BROCK LPC
Provider Business Mailing Address
First Line : 1241 MALL DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-4737
Country : US
Telephone Number : 804-306-8458
Fax Number : 804-794-4735
Provider Business Practice Location Address
First Line : 1241 MALL DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-4737
Country : US
Telephone Number : 804-306-8458
Fax Number : 804-794-4735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/08/2007

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Directions to “ MS. PATRICIA LEIGH WINTERBERGER BROCK LPC” Practice Location

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