| NPI | 1952484065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R CARPENTER Clinical Psychologist 804-264-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001968) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-12-13 |