| NPI | 1457499055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL T. PRITCHARD Owner 757-437-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001542) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |