is a Clinical in Washington, District Of Columbia. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1255383618. The last update date is .
's current location address is 1666 32nd St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2024073042. The mailing address for is 1666 32nd St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1666 32nd St Nw, Washington, District Of Columbia |
| Phone Number | 2024073042 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255383618 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1666 32nd St Nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 20007 |
| Phone Number | 2024073042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810003439 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10103860 | VA | -- | |
| 374723 | ANTHEM BLUE SHIELD |
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