| NPI | 1902135684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ADAM WILKEN President 703-876-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810003702) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |