NPI 1003043696 · live from the CMS NPI Registry
Chester Wayne Bullock, PsyD, MEd
Psychologist in Washington, DC. National Provider Identifier 1003043696, active.
NPI record
| NPI | 1003043696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 910 17th St Nw Ste 419, Washington, DC 20006 |
| Practice phone | 202-505-2795 |
| Enumerated | June 22, 2009 |
| Last updated | June 10, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.