| NPI | 1245245604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN C. MAURO Director Of Consultative Services 703-533-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0811000970) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |