| NPI | 1548472889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA L. BELMAN Psychologist 571-217-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003652) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003443) |
| 103TC0700X Psychologist, Clinical (Licence: MD 04268) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 04432) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-01-09 |