| NPI | 1720316755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RENEE JOHNSON Owner 202-903-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DC 1000591) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2023-06-29 |