| Roger A. Kalthoff, Ph.d., P.a. | |
|
936 W 4th St Winston Salem NC 27101-2564 | |
| (336) 577-8041 | |
| Not Available |
| Full Name | Roger A. Kalthoff, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 936 W 4th St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Roger Alan Kalthoff (OWNER/PRESIDENT) |
| Authorized Official Contact | 3365778041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger A. Kalthoff, Ph.d., P.a. 711 S Marshall St Unit C Winston Salem NC 27101-5849 Ph: (336) 577-8041 | Roger A. Kalthoff, Ph.d., P.a. 936 W 4th St Winston Salem NC 27101-2564 Ph: (336) 577-8041 |
| NPI Number | 1508857699 |
|---|---|
| Provider Enumeration Date | 10/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508857699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2749 (North Carolina) | Primary |
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