Howard University Faculty Practice Plan | |
2041 Georgia Ave Nw Washington DC 20060-1761 | |
(202) 865-3796 | |
Not Available |
Full Name | Howard University Faculty Practice Plan |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2041 Georgia Ave Nw, Washington, District Of Columbia |
Authorized Official Name and Position | Roberta Odindo (CREDENTIALING/ENROLLMENT) |
Authorized Official Contact | 2028656679 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Howard University Faculty Practice Plan Howard University 2041 Georgia Ave Nw Ste 3400 Washington DC 20060-0001 Ph: (202) 865-6679 | Howard University Faculty Practice Plan 2041 Georgia Ave Nw Washington DC 20060-1761 Ph: (202) 865-3796 |
NPI Number | 1124685391 |
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Provider Enumeration Date | 05/23/2019 |
Last Update Date | 03/16/2022 |
Certification Date | 03/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124685391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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