Healthcare Provider Details

I. General information

NPI: 1508833682
Provider Name (Legal Business Name): ROCHELLE LYNN KLINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 WASHINGTON HIGHWAY
ASHLAND VA
23005-7646
US

IV. Provider business mailing address

12300 WASHINGTON HWY
ASHLAND VA
23005-7646
US

V. Phone/Fax

Practice location:
  • Phone: 804-365-4222
  • Fax: 804-365-4252
Mailing address:
  • Phone: 804-365-4222
  • Fax: 804-365-4252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101039408
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: