| NPI | 1366063992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDAR COOK Psychologist 540-931-5238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103G00000X Clinical Neuropsychologist | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-13 |