MEDICARE: PHILIP APPEL PHD

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	1361	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410338-04	OTHER	MD	BC OF MD
2	H360-0003	OTHER	DC	BS NCA
3	J624 - 0001	OTHER	MD	BCBS
4	4071-0008	OTHER	DC	BCBS
5	247623	OTHER		MAMSI
6	114439	OTHER		KAISER
7	495042	OTHER	DC	NCPPO
8	351104-000	OTHER		AETNA

General Provider Information

NPI Number	:	1891763256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP APPEL PHD

Provider Business Mailing Address
First Line	:	102 IRVING ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 IRVING ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2921
Country	:	US
Telephone Number	:	202-877-1170
Fax Number	:

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	12/22/2011

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Directions to “ PHILIP APPEL PHD” Practice Location

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