APPALACHIAN COUNSELING CENTER PC NPI 1225339047

NPI Information

  • NPI: 1225339047
  • Provider Name: APPALACHIAN COUNSELING CENTER PC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 4330 OLD CAVE SPRING RD
    ROANOKE, VA
    ZIP 24018
  • Phone: (540) 774-4211

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NPI Details

APPALACHIAN COUNSELING CENTER PC is a clinical neuropsychologist in Roanoke, VA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. APPALACHIAN COUNSELING CENTER PC NPI is 1225339047. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4330 OLD CAVE SPRING RD
ROANOKE, VA
ZIP 24018-419
Phone: (540) 774-4211
Fax: (540) 989-8793

The provider's authorized official is Alan M Katz .
The authorized official title is President and has the following contact phone number (540) 774-4211.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist0810001334VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1680001173OTHERVIRGINIAMEDICARE
2007709226MEDICAIDVIRGINIA

What is NPI?

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This page was last updated on: 3/30/2025

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