MEDICARE: DR. MITCHELL HENRY HUGONNET 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
1	103TC0700X	Clinical Psychologist	PSY1480	DC
2	103TC0700X	Clinical Psychologist	2464	MD
3	103TC0700X	Clinical Psychologist	0810001596	VA
4	103TF0200X	Forensic Psychologist	PSY1480	DC
5	103TF0200X	Forensic Psychologist	2464	MD
6	103TF0200X	Forensic Psychologist	0810001596	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A383	OTHER	DC	CAREFIRST BCBS

General Provider Information

NPI Number	:	1346228020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL HENRY HUGONNET PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 73
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-0073
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 PENNSYLVANIA AVE NW
Second Line	:	SOUTH BUILDING, SUITE 900
City	:	WASHINGTON
State	:	DC
Zip	:	20004-2601
Country	:	US
Telephone Number	:	202-246-4846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	09/11/2025

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