Healthcare Provider Details

I. General information

NPI: 1831254655
Provider Name (Legal Business Name): STEVEN JAY TULIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 12/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WRAMC RM 2J38 6900 GEORGIA AVE NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-5520
  • Fax:
Mailing address:
  • Phone: 202-865-6679
  • Fax: 202-865-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number02758
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: