| NPI | 1063883742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE BARTICK Clinical Psychologist 571-217-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004449) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |