| NPI | 1518215037 |
|---|---|
| Former Legal Business Name | DEBRA MARKS, PSYD |
| Entity Type | Organization |
| Authorized Contact | DEBRA MARKS Owner 540-342-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0810002705) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2022-10-23 |