| NPI | 1063221034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRADY MATTHEW GALLAGHER Licensed Clinical Psychologist 202-489-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-01-04 |