| NPI | 1508862392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE M. LEPEONKE Office Manager 301-695-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103T00000X Psychologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-06-26 |
| Last Update Date | 2013-05-24 |