| NPI | 1356581102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS M BAUER Clinical Psychologist 703-507-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WV 955) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |