| NPI | 1194804914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY EKDOM Owner 703-573-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 081001775) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-05-22 |