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NPI Code Detail

MEDICARE: DR. CHERIAN VERGHESE PH.D.

MEDICARE:  DR. CHERIAN  VERGHESE  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1541DC

General Provider Information

NPI Number : 1306115233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERIAN VERGHESE PH.D.
Provider Business Mailing Address
First Line : 910 17TH ST NW
Second Line : SUITE 306
City : WASHINGTON
State : DC
Zip : 20006-2601
Country : US
Telephone Number : 202-296-2822
Fax Number :
Provider Business Practice Location Address
First Line : 910 17TH ST NW
Second Line : SUITE 306
City : WASHINGTON
State : DC
Zip : 20006-2601
Country : US
Telephone Number : 202-296-2822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2011
Last Update Date : 12/21/2011

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Directions to “ DR. CHERIAN VERGHESE PH.D.” Practice Location

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