Provider Demographics
NPI:1124679550
Name:RATNER, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:RATNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:
Other - Last Name:RATNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5100 WISCONSIN AVE NW STE 307
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4130
Mailing Address - Country:US
Mailing Address - Phone:202-244-1600
Mailing Address - Fax:
Practice Address - Street 1:5100 WISCONSIN AVE NW STE 307
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4130
Practice Address - Country:US
Practice Address - Phone:202-244-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00338101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor