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639 Atlantic St Se Washington DC 20032-3738 | |
| (202) 849-2915 | |
| (202) 627-5028 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 639 Atlantic St Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Angelina Dickerson (CLINICAL DIRECTOR/PSYCHOLOGIST) |
| Authorized Official Contact | 2028492915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
639 Atlantic St Se Washington DC 20032-3738 Ph: (202) 849-2915 | 639 Atlantic St Se Washington DC 20032-3738 Ph: (202) 849-2915 |
| NPI Number | 1083075709 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083075709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY1000835 (District Of Columbia) | Primary |
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