Dayl Reid-Roberts, LPD

Individual provider Active NPI Professional Counselor · Parksley, VA

NPI 1336229335 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336229335
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701001949 (VA)
Practice address
19056 Greenbush Rd
Parksley, VA 23421
Phone
(757) 665-1260
Fax
(757) 665-4184
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0701001949VAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001949 VA Yes

Addresses

Primary practice location

19056 Greenbush Rd
Parksley, VA 23421

Mailing address

PO Box 453
Nassawadox, VA 23413-0453
Phone (757) 442-3636

Other providers in Parksley, VA

All providers in Parksley, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.