| NPI | 1669487088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEARE ASHLEY ZWEMER President 757-548-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001649) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |