| Progressive Life Institute Inc | |
|
1933 Montana Ave Ne Washington DC 20002-1817 | |
| (202) 349-7663 | |
| (202) 842-0604 |
| Full Name | Progressive Life Institute Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1933 Montana Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Frederick Brian Phillips (PRESIDENT) |
| Authorized Official Contact | 2023497663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Life Institute Inc 1933 Montana Ave Ne Washington DC 20002-1817 Ph: (202) 349-7663 | Progressive Life Institute Inc 1933 Montana Ave Ne Washington DC 20002-1817 Ph: (202) 349-7663 |
| NPI Number | 1528426293 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528426293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 1060 (District Of Columbia) | Primary |
| 1041C0700X | Social Worker - Clinical | LC301232 (District Of Columbia) | Secondary |
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