Provider Demographics
NPI:1417169467
Name:FRANCIS, ANNA MARIA (PHD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:RONCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:604 WINHALL WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2069
Mailing Address - Country:US
Mailing Address - Phone:301-625-2421
Mailing Address - Fax:
Practice Address - Street 1:5480 WISCONSIN AVE STE 204
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3530
Practice Address - Country:US
Practice Address - Phone:301-792-7778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03494103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491205Medicare ID - Type Unspecified