| Institute For Life Enrichment Pc | |
|
7852 16th Street Nw Washington DC 20012-1204 | |
| (202) 291-5009 | |
| (202) 291-2080 |
| Full Name | Institute For Life Enrichment Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7852 16th Street Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | James E Savage (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2022915008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Life Enrichment Pc 7852 16th Street Nw Washington DC 20012-1204 Ph: (202) 291-5009 | Institute For Life Enrichment Pc 7852 16th Street Nw Washington DC 20012-1204 Ph: (202) 291-5009 |
| NPI Number | 1457464299 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 9830352418 |
|---|---|
| Medicare Enrollment ID | O20120517000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457464299 | NPI | - | NPPES |
| 773211200 | Medicaid | MD | |
| 023011400 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY571 (District Of Columbia) | Primary |
| 103T00000X | Psychologist | 02982 (Maryland) | Secondary |
| Provider Name | James E Savage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629011515 PECOS PAC ID: 3375706963 Enrollment ID: I20120517000525 |
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