NPI | 1205016607 |
---|---|
Entity Type | Organization |
Authorized Contact | STARR STIXRUD Administrative Director 301-565-0534 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 1963) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2007-11-14 |