| Children's Hospital | |
|
111 Michigan Ave Nw Washington DC 20010-2916 | |
| (202) 476-4447 | |
| Not Available |
| Full Name | Children's Hospital |
|---|---|
| Speciality | Psychologist |
| Location | 111 Michigan Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Susan Pfennig (MANAGER) |
| Authorized Official Contact | 2024764447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital Po Box 27215 Baltimore MD 21216-0715 Ph: () - | Children's Hospital 111 Michigan Ave Nw Washington DC 20010-2916 Ph: (202) 476-4447 |
| NPI Number | 1326344003 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326344003 | NPI | - | NPPES |
| 027980100 | Medicaid | DC | |
| 658091200 | Medicaid | MD | |
| 000900168 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | HFD01-0208 (District Of Columbia) | Primary |
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