Individual
DR. PAULA MARLENE WOLFTEICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 985-9985
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2343
OR
103T00000X
Psychologist
07233
MD
103T00000X
Psychologist
Primary
0810007290
VA
103TC2200X
Clinical Child & Adolescent Psychologist
2343
OR
2084P0800X
Psychiatry Physician
0810007290
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0753272578A
—
GA
Enumeration date
03/29/2007
Last updated
05/08/2025
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