Healthcare Provider Details

I. General information

NPI: 1689815292
Provider Name (Legal Business Name): GAIL KALIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 17TH ST NW SUITE 601
WASHINGTON DC
20009-2453
US

IV. Provider business mailing address

137 CAMERON STATION BLVD
ALEXANDRIA VA
22304-7781
US

V. Phone/Fax

Practice location:
  • Phone: 202-365-5212
  • Fax:
Mailing address:
  • Phone: 202-365-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 1890
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY 1890
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 1890
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY 1890
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: