Provider Demographics
NPI:1366882854
Name:ROLFES, CHARITY BLYTHE (PHD)
Entity type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:BLYTHE
Last Name:ROLFES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 WASHINGTON ST SW
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24061-0108
Mailing Address - Country:US
Mailing Address - Phone:540-231-6557
Mailing Address - Fax:540-231-2104
Practice Address - Street 1:895 WASHINGTON ST SW
Practice Address - Street 2:SUITE 240
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24061-0108
Practice Address - Country:US
Practice Address - Phone:540-231-6557
Practice Address - Fax:540-231-2104
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004797103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical