Healthcare Provider Details

I. General information

NPI: 1245427657
Provider Name (Legal Business Name): DANA TREISTMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2007
Last Update Date: 09/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 Q ST NW SUITE 200
WASHINGTON DC
20009-6351
US

IV. Provider business mailing address

1633 Q ST NW SUITE 200
WASHINGTON DC
20009-6351
US

V. Phone/Fax

Practice location:
  • Phone: 202-386-6234
  • Fax: 202-536-5943
Mailing address:
  • Phone: 202-386-6234
  • Fax: 202-536-5943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY100443
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: