| NPI | 1346977311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD R SHOWALTER Mbr 540-447-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-09-13 |