Healthcare Provider Details

I. General information

NPI: 1699242925
Provider Name (Legal Business Name): WOODLEY PSYCHOANALYTIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 CONNECTICUT AVE NW STE 202
WASHINGTON DC
20008-1595
US

IV. Provider business mailing address

2604 CONNECTICUT AVE NW STE 202
WASHINGTON DC
20008-1595
US

V. Phone/Fax

Practice location:
  • Phone: 202-505-4063
  • Fax:
Mailing address:
  • Phone: 202-505-4063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA CHUNG
Title or Position: OWNER
Credential: PHD
Phone: 202-505-4063