NPI | 1356877492 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA L. HOUVENER Owner 757-828-5927 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005373) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2024-07-01 |