Susan Leslie Roark in Charlottesville - Professional
Susan Leslie Roark - NPI 1568524957
Susan Leslie Roark is a Professional in Charlottesville, Virginia. Susan Leslie Roark practices all healthcare services and medical treatments related to Professional. The NPI Number for Susan Leslie Roark is 1568524957. The last update date is 2007-07-08.
Susan Leslie Roark's current location address is 918 9 1/2 Street Ne, Charlottesville, Virginia. You can contact this provider via phone number 4342963850 and fax number 4342962928. The mailing address for Susan Leslie Roark is 918 9 1/2 Street Ne, Charlottesville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Leslie Roark |
|---|---|
| Address | 918 9 1/2 Street Ne, Charlottesville, Virginia |
| Phone Number | 4342963850 |
| Fax Number | 4342962928 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1568524957 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 918 9 1/2 Street Ne |
|---|---|
| City | Charlottesville |
| State | Virginia (VA) |
| Post Code | 22902 |
| Phone Number | 4342963850 |
| Fax Number | 4342962928 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 701002014 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87527 | SOUTHERN HEALTH | ||
| 521336 | VALUE OPTION | ||
| 153886 | ANTHEM | ||
| IP287876 | GREEN SPRING | ||
| 5463577 | AETNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Leslie Roark?
The Susan Leslie Roark has been issued the NPI (National Provider Identifier) 1568524957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan Leslie Roark is physically located?
The Susan Leslie Roark is physically situated at the following address: 918 9 1/2 Street Ne, Charlottesville, VA, 22902.
What is Susan Leslie Roark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Leslie Roark is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Susan Leslie Roark receive its 1568524957 assignment from the Centers for Medicare & Medicaid Services?
The Susan Leslie Roark was assigned its 1568524957 by the Centers for Medicare & Medicaid Services on 2006-12-14.
As of what date were the details related to Susan Leslie Roark most recently updated or revised?
The information pertaining to Susan Leslie Roark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA