NPI 1063534683

Gilbert Todd Vance, PHD

Practitioner Clinical Psychologist Salem, VA

Practice location

Address: 1970 Roanoke Blvd, Salem, VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1957

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 0810004034 (VA)

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Registry record

NPI: 1063534683
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2007
Record last updated: 12 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.