| NPI | 1568505402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNNE MARSHALL Clinical Psychologist 703-476-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000356) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |