Susan Slate Mathews-Duvall, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

0810006100 Issued in VA

Practice address

3959 Electric Rd Ste 210
Roanoke, VA 24018-4507

Phone

(540) 206-2385

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1619022142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21016",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180103",
            "telephone_number": "859-227-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 210",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184507",
            "telephone_number": "540-206-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS-DUVALL",
        "first_name": "SUSAN",
        "middle_name": "SLATE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "P0000002539",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "KY-1482",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0810006100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Celeste Mastracci, M.D.
• Jessica Danielle Matheny, NP-C
• Whitney Matheson
• Matt Mathew, M.D.
• Vincy Mathew, DO
• John Addison Mathews, RPH
• Josiah Ezekiel Mathieu
• John M Mathis, MD
• Ankita Mathur
• Cynthia Matos Molina

• Counseling Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Counseling Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.