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NPI Code Detail

MEDICARE: SUSAN K ROEHRICH LPC

MEDICARE: SUSAN K ROEHRICH LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701002367VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ANTHEM BLUE CROSSOTHERVA242636

General Provider Information

NPI Number : 1992817639
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN K ROEHRICH LPC
Provider Business Mailing Address
First Line : 2007 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2656
Country : US
Telephone Number : 434-385-8948
Fax Number : 434-385-5947
Provider Business Practice Location Address
First Line : 2007 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2656
Country : US
Telephone Number : 434-385-8948
Fax Number : 434-385-5947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ SUSAN K ROEHRICH LPC” Practice Location

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