Organization · Type 2 NPI
PHS Behavioral Medicine
Addiction Medicine (Psychiatry & Neurology) Physician · Washington, DC
Practice location
1053 Buchanan St NE, Suite 055
Washington, DC 20017-2712
Fax (202) 269-7616
Mailing address
1150 Varnum St NE, St Catherine's Hall, Room 102
Washington, DC 20017-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | HFD01-0212 (DC) |
| Neurology Physician | 2084N0400X | HFD01-0212 (DC) |
| General Acute Care Hospital | 282N00000X | HFD01-0112 (DC) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
2 other providers at this address
Other addiction medicine (psychiatry & neurology) physician providers in Washington
About NPI 1396012837
PHS Behavioral Medicine's National Provider Identifier is 1396012837, issued on Nov 29, 2011. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Washington, DC. The record was last updated on Sep 6, 2016.