| NPI | 1730354804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANNE BUCZEK Senior Partner 804-794-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001121) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2010-06-23 |