| NPI | 1265608087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A SIEGEL President 757-422-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000887) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |