=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588069876
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELLYN L TURER PSYD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/29/2014
-----------------------------------------------------
Last Update Date | 03/03/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1250 CONNECTICUT AVE NW STE 700
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20036-2657
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-886-3555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1250 CONNECTICUT AVE NW STE 700
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20036-2657
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-886-3555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOLOGIST
-----------------------------------------------------
Name | DR. ELLYN LESLIE TURER HARRIS
-----------------------------------------------------
Credential | PSYD
-----------------------------------------------------
Telephone | 202-886-3555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------