| NPI | 1790518660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. MATOVICH Licensed Clinical Psychologist 804-821-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-08-24 |
| Last Update Date | 2024-08-24 |