| NPI | 1922200781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE HEYLIGER Psychologist Sole Member 757-784-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002771) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-05-29 |