Provider Demographics
NPI:1093135162
Name:FLANSBURG, CLAIRE STEPHENSON (PHD, LCP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:STEPHENSON
Last Name:FLANSBURG
Suffix:
Gender:F
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:CLAIRE
Other - Last Name:STEPHENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9025 FOREST HILL AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 N 27TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6507
Practice Address - Country:US
Practice Address - Phone:804-668-7220
Practice Address - Fax:804-668-7220
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005340103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical