Healthcare Provider Details

I. General information

NPI: 1073178554
Provider Name (Legal Business Name): HOWARD UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 E CAPITOL ST NE
WASHINGTON DC
20019-6732
US

IV. Provider business mailing address

2041 GEORGIA AVE NW STE 3400
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-379-4335
  • Fax:
Mailing address:
  • Phone: 202-865-4132
  • Fax: 202-865-5018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBIN MARIE MILLER
Title or Position: DIRECTOR, CLINICAL OPERATIONS
Credential:
Phone: 202-341-9434