Healthcare Provider Details

I. General information

NPI: 1487081444
Provider Name (Legal Business Name): BRENDA K. KINSLER ED.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 10/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 1ST ST NE 9TH FLOOR
WASHINGTON DC
20002-3361
US

IV. Provider business mailing address

1735 F ST NE APT B
WASHINGTON DC
20002-4642
US

V. Phone/Fax

Practice location:
  • Phone: 202-698-8037
  • Fax: 202-535-1112
Mailing address:
  • Phone: 202-388-4219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: