Healthcare Provider Details

I. General information

NPI: 1932014768
Provider Name (Legal Business Name): MARGARET GAITANIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 FORT DR NW
WASHINGTON DC
20016-1870
US

IV. Provider business mailing address

3801 CONNECTICUT AVE NW APT 707
WASHINGTON DC
20008-4563
US

V. Phone/Fax

Practice location:
  • Phone: 202-939-2010
  • Fax:
Mailing address:
  • Phone: 850-559-4121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberDC3103547908
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: