Individual
DR. ELLA H PECSOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2302 COLONIAL AVE SW STE G2, ROANOKE, VA 24015-3100
(757) 375-5252
Mailing address
2302 COLONIAL AVE SW STE G2, ROANOKE, VA 24015-3100
(757) 375-5252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001737
VA
103TC0700X
Clinical Psychologist
810001737
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007705484
—
VA
Enumeration date
08/11/2006
Last updated
05/10/2023
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