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Organization

APPALACHIAN COUNSELING CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN M KATZ PH.D (PRESIDENT)
(540) 774-4211
Entity
Organization

Contact information

Practice address
4330 OLD CAVE SPRING RD, ROANOKE, VA 24018-3419
(540) 774-4211
(540) 989-8793
Mailing address
4330 OLD CAVE SPRING RD, ROANOKE, VA 24018-3419
(540) 774-4211
(540) 989-8793

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001334
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007709226
VA
01
680001173
MEDICARE
VA
Enumeration date
11/10/2010
Last updated
01/03/2011
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