| NPI | 1841814639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WALKER Owner/Provider Authorized Official 757-627-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-08-25 |