| NPI | 1811475205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCKENNA Licensed Clinical Psychologist 804-264-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006009) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |