Individual
DR. SUSAN SLATE MATHEWS-DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3959 ELECTRIC RD STE 210, ROANOKE, VA 24018-4507
(540) 206-2385
Mailing address
PO BOX 21016, ROANOKE, VA 24018-0103
(859) 227-9998
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0810006100
VA
103TC1900X
Counseling Psychologist
KY-1482
KY
103TC1900X
Counseling Psychologist
P0000002539
TN
Other
Enumeration date
01/24/2007
Last updated
02/21/2019
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