Organization
APPALACHIAN COUNSELING CENTER PC
Active
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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