MRS. ANDREA LUCAS FOUTZ


Address: 2910 Fleetwood Ave Sw, Roanoke, VA 24015-4626
Phone: 5409896360

MRS. ANDREA LUCAS FOUTZ (NPI# 1912114745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912114745
Entity Type Individual
Full Name MRS. ANDREA LUCAS FOUTZ
Credential ED.S.
Practice Address 2910 Fleetwood Ave Sw
Roanoke
VA 24015-4626
Mailing Address 6065 Chagall Dr
Roanoke
VA 24018-5289
Practice Telephone 5409896360
Practice Fax Number 5409896360
Mailing Telephone 5407258429
Mailing Fax Number 5409896360
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
VA Behavioral Health & Social Service Providers

Office Location

Street Address 2910 FLEETWOOD AVE SW
City ROANOKE
State VA
Zip Code 24015-4626

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1861971475 Molly Amelia Southard Behavior Technician 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 2018-08-14
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205436995 Brittany Hale Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2020-10-30
1992311294 Victoria Lauren Greenwell Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2020-09-22
1043829856 Nicole Pagano Psychologist 5937 Cove Rd, Roanoke, VA 24019-2403 2020-07-28
1689219396 Cierra Parker Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2019-11-18
1316418478 Brooke Devine Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2018-12-16
1629546023 Ashley Anderson Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2018-11-05
1417458118 Meghann Gearheart Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2018-02-27
1700387404 Colleen Diane Ewing Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2018-02-27
1629579313 Stephanie S Sexton Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2018-02-27
1083115778 Savannah Marie Childers Hommema Psychologist 40 Douglas Ave Nw, Roanoke, VA 24012-4611 2018-02-27
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Competitor

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City ROANOKE
Zip Code 24015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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