| NPI | 1487884102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ALAN RHOAD Clinical Psychologist 757-749-7809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810002751) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |