| NPI | 1942579693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELE P MCNEILL Owner 757-340-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002194) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |