| NPI | 1366453482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY TAYLOR MITCHUM President 757-628-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002730) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |