Provider First Line Business Practice Location Address: 
JAMES MADISON UNIVERISTY
    Provider Second Line Business Practice Location Address: 
GRADUATE PSYCHOLOGY MSC 7401
    Provider Business Practice Location Address City Name: 
HARRISONBURG
    Provider Business Practice Location Address State Name: 
VA
    Provider Business Practice Location Address Postal Code: 
22807-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
540-568-2553
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/25/2008