Healthcare Provider Details

I. General information

NPI: 1215072012
Provider Name (Legal Business Name): PHILIP W. MEILMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAPS 1 DARNALL HALL GEORGETOWN UNIVERSITY 37TH AND O STREETS, NW
WASHINGTON DC
20057-0001
US

IV. Provider business mailing address

CAPS 1 DARNALL HALL GEORGETOWN UNIVERSITY 37TH AND O STREETS, NW
WASHINGTON DC
20057-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-7060
  • Fax:
Mailing address:
  • Phone: 202-687-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1000303
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: