Healthcare Provider Details

I. General information

NPI: 1285357145
Provider Name (Legal Business Name): PAUL EL-MEOUCHY LPA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 U ST NW FL 3
WASHINGTON DC
20009-7991
US

IV. Provider business mailing address

7900 TYSONS ONE PL STE 800
MC LEAN VA
22102-5974
US

V. Phone/Fax

Practice location:
  • Phone: 202-888-5595
  • Fax:
Mailing address:
  • Phone: 202-677-5588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGPC200001720
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYA200001263
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: