| Family Development Associates, Inc. | |
|
4115 Wisconsin Ave Nw Ste 203 Washington DC 20016-2849 | |
| (202) 955-6381 | |
| (202) 232-2634 |
| Full Name | Family Development Associates, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4115 Wisconsin Ave Nw Ste 203, Washington, District Of Columbia |
| Authorized Official Name and Position | Theodore Fuller (PSYCHOLOGIST) |
| Authorized Official Contact | 2029556381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Development Associates, Inc. 4115 Wisconsin Ave Nw Ste 203 Washington DC 20016-2849 Ph: (202) 955-6381 | Family Development Associates, Inc. 4115 Wisconsin Ave Nw Ste 203 Washington DC 20016-2849 Ph: (202) 955-6381 |
| NPI Number | 1487000345 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487000345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY1827 (District Of Columbia) | Primary |
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