| Georgetown Neuropsychology Llc | |
|
2233 Wisconsin Ave Nw Ste 307 Washington DC 20007-4104 | |
| (202) 342-2233 | |
| Not Available |
| Full Name | Georgetown Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2233 Wisconsin Ave Nw Ste 307, Washington, District Of Columbia |
| Authorized Official Name and Position | Victoria Noyes Starbuck (OWNER) |
| Authorized Official Contact | 2023432233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Neuropsychology Llc 2233 Wisconsin Ave Nw Ste 307 Washington DC 20007-4104 Ph: (202) 342-2233 | Georgetown Neuropsychology Llc 2233 Wisconsin Ave Nw Ste 307 Washington DC 20007-4104 Ph: (202) 342-2233 |
| NPI Number | 1124589288 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 03/29/2019 |
| Medicare PECOS PAC ID | 2860735776 |
|---|---|
| Medicare Enrollment ID | O20190516001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124589288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Victoria N Starbuck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043309305 PECOS PAC ID: 5496751448 Enrollment ID: I20061013000437 |
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