| NPI | 1750635231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE BOLLICH Neuropsychologist 301-448-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 04336) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |