| NPI | 1770605321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. ROEMBKE Member 301-620-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-07-05 |