| NPI | 1306024914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W WIRES Neuro Psychologist 703-352-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810001681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904006205) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904000808) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003490) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810002990) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003772) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810002885) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810003557) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904002754) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904004294) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904002144) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006034) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003015) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |