Michael S. Roath MD Fapa PC
Clinic/Center, Adult Mental Health in Springfield, VA. Organization (NPI-2).
NPI number1346563285
StatusActive
Last updated in NPPESMar 6, 2010
Details
- NPI
- 1346563285
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael S. Roath MD Fapa PC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2010
- Last updated
- Mar 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 0101020922 | VA | Yes |
Practice location
8322 Traford LnSuite D
Springfield, VA 22152-1668
Phone 703-451-6113 · Fax 703-866-2430
Mailing address
8322 Traford LnSuite D
Springfield, VA 22152-1668
Phone 703-451-6113 · Fax 703-866-2430
Authorized official
Michael S. Roath
Physician/Psychiatrist
7034516113
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