| Organization Name: | BLUE RIDGE PSYCHOTHERAPY & CONSULTATION ASSOCIATES, PC |
| NPI Number: | 1457537490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN RAMSEY TELSCH (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 2424 Magnolia Ave Suite 1 Buena Vista |
| State: | VA US |
| Postal Code: | 244163026 |
| Phone Number: | 5404603017 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2008 |
| NPI Last Update Date: | 03/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810001331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |