| Doctor Name: | MR. PRESTON HENRY PAGE |
| NPI Number: | 1063544328 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LSATP |
| License Number: | 0904004829 |
| Business Practice Address: | 900 F Starling Avenue Pob 333 Martinsville, VA - 24114 |
| Business Phone Number: | 2767349870 |
| Business Fax Number: | 2766662332 |
| Mailing Address: | 900 F Starling Avenue, Pob 333 MARTINSVILLE |
| State: | VA |
| Postal Code: | 24114 |
| Phone Number: | 2767349870 |
| Fax Number: | 2766662332 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904004829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |