| NPI | 1104003417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CORRADO Psychologist 301-718-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04249) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 03384) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |