| Octave Behavioral Pa | |
|
1090 Vermont Ave Nw Washington DC 20005-4905 | |
| (415) 360-3833 | |
| (628) 234-3048 |
| Full Name | Octave Behavioral Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1090 Vermont Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Kym Everett (VP, REVENUE OPERATIONS) |
| Authorized Official Contact | 6505042289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Octave Behavioral Pa 625 Market St San Francisco CA 94105-3302 Ph: () - | Octave Behavioral Pa 1090 Vermont Ave Nw Washington DC 20005-4905 Ph: (415) 360-3833 |
| NPI Number | 1538887351 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538887351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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