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NPI Code Detail

MEDICARE: DR. ELENI GETACHEW PSY.D., L.P.C.

MEDICARE: DR. ELENI GETACHEW PSY.D., L.P.C.
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
1101YP2500XProfessional CounselorPRC13843DC

General Provider Information

NPI Number : 1831310556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELENI GETACHEW PSY.D., L.P.C.
Provider Business Mailing Address
First Line : 11804 PITTSON RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-4736
Country : US
Telephone Number : 301-806-8495
Fax Number : 301-942-2883
Provider Business Practice Location Address
First Line : 2607 CONNECTICUT AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20008-1522
Country : US
Telephone Number : 301-806-8495
Fax Number : 301-942-2883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/08/2007

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