Healthcare Provider Details

I. General information

NPI: 1043361686
Provider Name (Legal Business Name): WOMEN'S PSYCHOTHERAPY INSITITUTE, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1429 21ST ST NW FIRST FLOOR
WASHINGTON DC
20036-5902
US

IV. Provider business mailing address

5022 DORSEY HALL DR SUITE 101
ELLICOTT CITY MD
21042-7711
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-9026
  • Fax: 410-730-0338
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JUDITH ANNE FRIEDMAN
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 302-596-6952