Provider Demographics
NPI:1902990369
Name:DUVALL, MARGARET L (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:DUVALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 MONUMENT AVE
Mailing Address - Street 2:SUITE 511
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-7005
Mailing Address - Country:US
Mailing Address - Phone:804-340-5290
Mailing Address - Fax:804-340-5292
Practice Address - Street 1:1805 MONUMENT AVE
Practice Address - Street 2:SUITE 511
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-7005
Practice Address - Country:US
Practice Address - Phone:804-340-5290
Practice Address - Fax:804-340-5292
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001268103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA680001384Medicare ID - Type Unspecified