| NPI | 1578743027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVISON LEWIS Sole Partner 540-662-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: 0810002168) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810003809) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |