| NPI | 1518492800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKER KENNEDY REA Principal 202-730-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0128109) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |