Organization · Type 2 NPI

Providence Health Services, Inc

Neurology Physician · Washington, DC

NPI number 1609031632 Active

Practice location

1140 Varnum St NE Ste 100
Washington, DC 20017

Call (202) 854-7623 Map

Fax (202) 854-7616

Mailing address

1150 Varnum St NE, St Catherines Hall 102
Washington, DC 20017-2180

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	HFD01-0212 (DC)
Psychologist	103T00000X	HFD01-0212 (DC)
Social Worker	104100000X	HFD01-0212 (DC)
Addiction Medicine (Psychiatry & Neurology) Physician	2084A0401X	HFD01-0212 (DC)
Behavioral Neurology & Neuropsychiatry Physician	2084B0040X	HFD01-0212 (DC)
Neurology Physician Primary	2084N0400X	HFD01-0212 (DC)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Other neurology physician providers in Washington

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NPI record

NPI: 1609031632
Entity type: Organization (Type 2)
Issued: Jul 18, 2008
Last updated: Oct 20, 2023
Status: Active
Subpart: Yes of Providence Hospital

Other names

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PHS Outpatient Behavioral Health · doing business as
PHS Outpatient Behavioral Health · doing business as

Authorized official

Mitchell Lomax
Vice President/cfo
(667) 234-2926

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About NPI 1609031632

Providence Health Services, Inc's National Provider Identifier is 1609031632, issued on Jul 18, 2008. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Washington, DC. The record was last updated on Oct 20, 2023.