MEDICARE: HANS-PETER NESETH

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	103TS0200X	School Psychologist		DC

General Provider Information

NPI Number	:	1861820011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANS-PETER NESETH

Provider Business Mailing Address
First Line	:	1200 1ST ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3361
Country	:	US
Telephone Number	:	202-442-5885
Fax Number	:

Provider Business Practice Location Address
First Line	:	4399 S CAPITOL TER SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-2207
Country	:	US
Telephone Number	:	202-939-5280
Fax Number	:

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

Provider Enumeration Date	:	10/25/2013
Last Update Date	:	10/25/2013

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Directions to “ HANS-PETER NESETH ” Practice Location

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