| NPI | 1992720205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURKE MEALY Clinical Psychologist 301-948-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: MD 702) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-12-31 |