| NPI | 1992067052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE B. HAZARD President/Psychologist 301-770-2847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 1580) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MD 02129) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |