Healthcare Provider Details

I. General information

NPI: 1144230483
Provider Name (Legal Business Name): ANN BRYAN SOLLINGER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN LEIGH BRYAN

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 RIVERSIDE CIR
ROANOKE VA
24016-4955
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 540-526-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number917
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY003046
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810004140
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: