MEDICARE: DR. HELEN CHARLOTTE EPPS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY874	DC
2	103TC0700X	Clinical Psychologist	0810000893	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4578310	OTHER	VA	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2418	OTHER	VA	CAREFIRST BC/BS
4	335110	OTHER	VA	ANTHEM
5	050783000	OTHER	VA	MAGELLAN
6	133138	OTHER	VA	MHN

General Provider Information

NPI Number	:	1326062217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN CHARLOTTE EPPS PH.D.

Provider Business Mailing Address
First Line	:	3888 PORTER ST NW
Second Line	:	B344
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2960
Country	:	US
Telephone Number	:	202-363-1278
Fax Number	:	202-363-1278

Provider Business Practice Location Address
First Line	:	4001 9TH ST N
Second Line	:	STE. 220
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1956
Country	:	US
Telephone Number	:	703-243-7737
Fax Number	:	703-243-7737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/04/2014

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