Individual
ALICIA GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ED.S
Contact information
Practice address
173 APPLEWOOD DR, ROANOKE, VA 24019-8346
(828) 450-1217
Mailing address
173 APPLEWOOD DR, ROANOKE, VA 24019-8346
(828) 450-1217
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813001252
VA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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