| Michael S. Roath Md Fapa Pc | |
|
8322 Traford Ln Suite D Springfield VA 22152-1668 | |
| (703) 451-6113 | |
| (703) 866-2430 |
| Full Name | Michael S. Roath Md Fapa Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8322 Traford Ln, Springfield, Virginia |
| Authorized Official Name and Position | Michael S. Roath (PHYSICIAN/PSYCHIATRIST) |
| Authorized Official Contact | 7034516113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S. Roath Md Fapa Pc 8322 Traford Ln Suite D Springfield VA 22152-1668 Ph: (703) 451-6113 | Michael S. Roath Md Fapa Pc 8322 Traford Ln Suite D Springfield VA 22152-1668 Ph: (703) 451-6113 |
| NPI Number | 1346563285 |
|---|---|
| Provider Enumeration Date | 03/06/2010 |
| Last Update Date | 03/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346563285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0101020922 (Virginia) | Primary |
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