| NPI | 1538966916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY YOON Business Analyst 301-450-4086 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |