| Appalachian Counseling Center Pc | |
|
4330 Old Cave Spring Rd Roanoke VA 24018-3419 | |
| (540) 774-4211 | |
| (540) 989-8793 |
| Full Name | Appalachian Counseling Center Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4330 Old Cave Spring Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Alan M Katz (PRESIDENT) |
| Authorized Official Contact | 5407744211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Counseling Center Pc 4330 Old Cave Spring Rd Roanoke VA 24018-3419 Ph: (540) 774-4211 | Appalachian Counseling Center Pc 4330 Old Cave Spring Rd Roanoke VA 24018-3419 Ph: (540) 774-4211 |
| NPI Number | 1225339047 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 01/03/2011 |
| Medicare PECOS PAC ID | 7911191069 |
|---|---|
| Medicare Enrollment ID | O20101102001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225339047 | NPI | - | NPPES |
| 007709226 | Medicaid | VA | |
| 680001173 | Other | VA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 0810001334 (Virginia) | Primary |
| Provider Name | Alan M Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952302127 PECOS PAC ID: 5092901231 Enrollment ID: I20101130000386 |
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