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Contact Information

THERESA A LICHTMAN, PhD
21000 EDUCATION CT
BROADLANDS, VA20148
 Phone: 572-252-2214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THERESA A LICHTMAN · (Female)

NPI Number 1245263961
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/08/2006
Last updated 05/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0810002799
  • VA Other 192046 ANTHEM PPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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