Individual
ALAN M KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4330 OLD CAVE SPRING RD, ROANOKE, VA 24018-3419
(540) 774-4211
(540) 989-8793
Mailing address
4330 OLD CAVE SPRING RD, ROANOKE, VA 24018-3419
(540) 774-4211
(540) 989-8793
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810001334
VA
103TC0700X
Clinical Psychologist
0810001334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007709226
—
VA
01
—
264464
PSYCHOLOGIST
VA
05
—
7707614
—
VA
Enumeration date
08/09/2005
Last updated
05/06/2008
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