| NPI | 1073824637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J. MEIER Provider 301-320-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002069) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |