Healthcare Provider Details

I. General information

NPI: 1912229691
Provider Name (Legal Business Name): DOUGLAS LABIER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 CONNECTICUT AVE NW
WASHINGTON DC
20015-1813
US

IV. Provider business mailing address

5225 CONNECTICUT AVE NW
WASHINGTON DC
20015-1813
US

V. Phone/Fax

Practice location:
  • Phone: 202-363-1147
  • Fax:
Mailing address:
  • Phone: 202-363-1147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY309
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY309
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License NumberPSY309
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: