Provider Demographics
NPI:1669894903
Name:BILLMAN, PAIGE M (PSYD)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:M
Last Name:BILLMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:CORDIAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:LAUREL FORK
Mailing Address - State:VA
Mailing Address - Zip Code:24352-0009
Mailing Address - Country:US
Mailing Address - Phone:276-398-1200
Mailing Address - Fax:276-546-5469
Practice Address - Street 1:6436 TROUTDALE HWY
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:VA
Practice Address - Zip Code:24378-2023
Practice Address - Country:US
Practice Address - Phone:276-398-2292
Practice Address - Fax:276-398-3331
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004911103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist