Provider Demographics
NPI:1144535923
Name:IGUCHI, NAOMI (PHD, LCP)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:IGUCHI
Suffix:
Gender:F
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:PERLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6714 PATTERSON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3432
Mailing Address - Country:US
Mailing Address - Phone:804-282-9989
Mailing Address - Fax:
Practice Address - Street 1:6714 PATTERSON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3432
Practice Address - Country:US
Practice Address - Phone:804-282-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004291103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical