| NPI | 1316231814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K WALD Clinical Psychologist/Owner 757-333-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001650) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-08-05 |