| NPI | 1417166398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE EDWARD EVANS Chief Psychologist/Owner 301-509-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04059) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-07-18 |