Provider Demographics
NPI:1558484634
Name:HESS, KARL GEORGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:GEORGE
Last Name:HESS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 BROOK PARK PL
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2639
Mailing Address - Country:US
Mailing Address - Phone:434-385-0573
Mailing Address - Fax:434-385-5317
Practice Address - Street 1:317 BROOK PARK PL
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2639
Practice Address - Country:US
Practice Address - Phone:434-385-0573
Practice Address - Fax:434-385-5317
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001435101YM0800X
VA0717000767106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist