NPI | 1538875687 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER K TATUM President 434-284-3806 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |