Provider Demographics
NPI: | 1962705798 |
---|---|
Name: | INTER-AMERICAN PSYCHOLOGICAL ASSOCIATES |
Entity type: | Organization |
Organization Name: | INTER-AMERICAN PSYCHOLOGICAL ASSOCIATES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MARIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PUIG-CASAURANC |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 202-265-5522 |
Mailing Address - Street 1: | 3000 CONNECTICUT AVE NW |
Mailing Address - Street 2: | SUITE 400 |
Mailing Address - City: | WASHINGTON |
Mailing Address - State: | DC |
Mailing Address - Zip Code: | 20008-2509 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 202-265-5522 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3000 CONNECTICUT AVE NW |
Practice Address - Street 2: | SUITE 400 |
Practice Address - City: | WASHINGTON |
Practice Address - State: | DC |
Practice Address - Zip Code: | 20008-2509 |
Practice Address - Country: | US |
Practice Address - Phone: | 202-265-5522 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-12-16 |
Last Update Date: | 2010-12-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
DC | PSY1133 | 251S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health |