=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477666899
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | F.A.C.T.S.,PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 650 PENNSYLVANIA AVE SE SUITE 440
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20003-4318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-544-5440
-----------------------------------------------------
Fax | 202-544-3004
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 650 PENNSYLVANIA AVE SE SUITE 440
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20003-4318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-544-5440
-----------------------------------------------------
Fax | 202-544-3004
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | BARBARA JEAN BROWN
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 202-544-5440
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PSY1526
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------