Provider Demographics
NPI:1962565309
Name:RHEE, WAYNE
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:RHEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 20TH ST NW
Mailing Address - Street 2:UNIT 1007
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6023
Mailing Address - Country:US
Mailing Address - Phone:202-302-5130
Mailing Address - Fax:
Practice Address - Street 1:20 COURTHOUSE SQ
Practice Address - Street 2:SUITE 202
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2336
Practice Address - Country:US
Practice Address - Phone:202-302-5130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04068103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical