| NPI | 1063696466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE R CHASE Psychologist/President 301-325-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002159) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 03341) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |