Individual
DR. ROBERT MICHAEL LANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D, P.C.
Contact information
Practice address
1315 2ND ST SW, SUITE 201, ROANOKE, VA 24016-4944
(540) 344-5940
(540) 344-5941
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810001642
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922102375
—
VA
Enumeration date
09/07/2006
Last updated
03/02/2016
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