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Individual

ROGER ALAN DELAPP

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2580 POTTERS RD, VIRGINIA BEACH, VA 23454-4324
(757) 498-9391
(757) 498-7073
Mailing address
2580 POTTERS RD, VIRGINIA BEACH, VA 23454-4324
(757) 498-9391
(757) 498-7073

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000715
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
242644
ANTHEM BCBS
VA
01
25913000
MAGELLAN
VA
01
O84013
SENTARA/OPTIMA
VA
Enumeration date
05/24/2006
Last updated
07/09/2007
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