| NPI | 1447421920 |
|---|---|
| Former Legal Business Name | ASSOCIATED CLINICAL SERVICES OF HERNDON |
| Entity Type | Organization |
| Authorized Contact | JUDITH L WALD Owner 703-481-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2009-10-30 |