| NPI | 1558759274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN NEELY BARBEE Clinical Psychologist 757-593-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 810004243) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-06 |