NPI 1578814653 · live from the CMS NPI Registry
Alisa B Bahl, PhD
Psychologist, Clinical in Charlottesville, VA. National Provider Identifier 1578814653, active.
NPI record
| NPI | 1578814653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1204 W Main St, Charlottesville, VA 22903 |
| Practice phone | 434-924-0123 |
| Mailing address | Po Box 749112, Atlanta, GA 30374 |
| Enumerated | September 28, 2012 |
| Last updated | March 24, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | 0810004296 (VA) |
| Psychologist, Clinical primary | 103TC0700X | 0810004296 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.