Provider Demographics
NPI:1104380401
Name:KRAJEWSKI, ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:KRAJEWSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 POLARIS PL
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9023
Mailing Address - Country:US
Mailing Address - Phone:703-577-3220
Mailing Address - Fax:
Practice Address - Street 1:1555 CONNECTICUT AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1126
Practice Address - Country:US
Practice Address - Phone:703-755-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007722103TC0700X
DCPSY200001564103TC0700X
WAPY61300930103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical