Provider Demographics
NPI:1538150040
Name:LATHROP, HELEN M (PSY D)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:LATHROP
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7149 JAHNKE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4017
Mailing Address - Country:US
Mailing Address - Phone:804-320-7881
Mailing Address - Fax:804-320-2050
Practice Address - Street 1:1807 LIBBIE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1837
Practice Address - Country:US
Practice Address - Phone:804-282-8377
Practice Address - Fax:804-320-2050
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical