| NPI | 1265674824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESA MICHELLE ROEBUCK SPENCER Manager 703-863-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OK 1078) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2009-03-28 |