| NPI | 1689720609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK G REYNOLDS Owner 757-422-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001257) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-06-02 |