| NPI | 1427331024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR STOKES Director Of Jmu Aldc 540-568-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004387) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2017-11-28 |