| NPI | 1174236343 |
|---|---|
| Doing Business As | PATRICK NISCO |
| Entity Type | Organization |
| Authorized Contact | TINA DEMEO Adminsitrator 703-581-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |