Healthcare Provider Details
I. General information
NPI: 1477666899
Provider Name (Legal Business Name): F.A.C.T.S.,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
650 PENNSYLVANIA AVE SE SUITE 440
WASHINGTON DC
20003-4318
US
IV. Provider business mailing address
650 PENNSYLVANIA AVE SE SUITE 440
WASHINGTON DC
20003-4318
US
V. Phone/Fax
- Phone: 202-544-5440
- Fax: 202-544-3004
- Phone: 202-544-5440
- Fax: 202-544-3004
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY1526 |
| License Number State | DC |
VIII. Authorized Official
Name:
BARBARA
JEAN
BROWN
Title or Position: DIRECTOR
Credential: PHD
Phone: 202-544-5440