Healthcare Provider Details

I. General information

NPI: 1427061233
Provider Name (Legal Business Name): JANELL MARIE SCHWEICKERT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 WISCONSIN AVE NW SUITE 4
WASHINGTON DC
20015-2012
US

IV. Provider business mailing address

5247 WISCONSIN AVE NW SUITE 4
WASHINGTON DC
20015-2012
US

V. Phone/Fax

Practice location:
  • Phone: 202-686-7699
  • Fax: 202-362-9633
Mailing address:
  • Phone: 202-686-7699
  • Fax: 202-362-9633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number03279
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1702
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: