| NPI | 1013251826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MOSES BALLARD Psychology 301-306-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 01160) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC psy354) |
| 101YP2500X Counselor, Professional (Licence: MD 01160) | |
| 103T00000X Psychologist (Licence: MD 01160) | |
| 103T00000X Psychologist (Licence: DC psy354) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: DC psy354) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 01160) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 01160) | |
| 103TC0700X Psychologist, Clinical (Licence: DC psy354) | |
| 103TC1900X Psychologist, Counseling (Licence: MD 01160) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 01160) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC psy354) | |
| 103TF0000X Psychologist, Family (Licence: MD 01160) | |
| 106H00000X Marriage & Family Therapist (Licence: MD 01160) | |
| 106H00000X Marriage & Family Therapist (Licence: DC psy354) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |