| NPI | 1922693522 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRYCE W. PHILLIPS Owner/Clinical Psychologist 202-248-4941 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2021-03-04 | 
| Last Update Date | 2021-03-04 |