| NPI | 1780007450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. COBB Clinical Psychologist 703-883-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001673) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |