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Organization

ROGER A. KALTHOFF, PH.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER ALAN KALTHOFF PH.D. (OWNER/PRESIDENT)
(336) 577-8041
Entity
Organization

Contact information

Practice address
936 W 4TH ST, WINSTON SALEM, NC 27101-2564
(336) 577-8041
Mailing address
711 S MARSHALL ST, UNIT C, WINSTON SALEM, NC 27101-5849
(336) 577-8041

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2749
NC

Other

Enumeration date
10/29/2005
Last updated
08/22/2020
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