SearchVirginia103TC0700X

Candice Roquemore Bonner, PSYD, LCP

NPI 1184253957 · on the registry since 2020 · sole proprietor

Practice

Address
1000 E Broad St
Richmond, VA 23219
Phone
(804) 828-2467
Fax
(804) 828-6690
Organisation at this address
Virginia Commonwealth University Health System Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
220

Additional practice sites

  • 8730 Stony Point Pkwy Ste 290, Richmond, VA

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
251S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia