NPI | 1023368412 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ROBERT BARRY Owner/Psychologist 410-714-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD 04153) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2012-09-13 |