| NPI | 1720511504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA MARIE MARSHALL Licensed Clinical Psychologist 804-482-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004684) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |