Basic Information
Provider Information
NPI: 1871950865
EntityType: 2
ReplacementNPI:  
OrganizationName: DISTRICT OF COLUMBIA PUBLIC SCHOOLS
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Mailing Information
Address1: 1200 1ST ST NE FL 9
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200027953
CountryCode: US
TelephoneNumber: 2024425885
FaxNumber:  
Practice Location
Address1: 1200 1ST ST NE FL 9
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200027953
CountryCode: US
TelephoneNumber: 2024425885
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/21/2016
LastUpdateDate: 01/21/2016
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AuthorizedOfficialLastName: ALI
AuthorizedOfficialFirstName: AKIRA
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AuthorizedOfficialTitleorPosition: SCHOOL PSYCHOLOGIST
AuthorizedOfficialTelephone: 2029393150
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TS0200X  Y193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersPsychologistSchool

No ID Information.


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