PAMELA L RUDAT PHD PC


Address: 1629 K St Nw, Suite 300, Washington, DC 20006-1602
Phone: 2023381185

PAMELA L RUDAT PHD PC (NPI# 1225350838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225350838
Entity Type Organization
Organization Name PAMELA L RUDAT PHD PC
Practice Address 1629 K St Nw
Suite 300
Washington
DC 20006-1602
Practice Telephone 2023381185
Mailing Telephone 2023381185
Enumeration Date 2010-02-23
Last Update Date 2010-02-23
Authorized Official Name DR. PAMELA RUDAT STANSELL (OWNER & SOLE EMPLOYEE)
Authorized Official Telephone 2023381185
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY1308 DC Behavioral Health & Social Service Providers

Office Location

Street Address 1629 K ST NW
SUITE 300
City WASHINGTON
State DC
Zip Code 20006-1602

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20006

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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