NPI 1053925339 · live from the CMS NPI Registry
Gwenna Blanden
Psychologist, Clinical Child & Adolescent in Washington, DC. National Provider Identifier 1053925339, active.
NPI record
| NPI | 1053925339 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 111 Michigan Ave Nw, Washington, DC 20010 |
| Practice phone | 202-476-5000 |
| Mailing address | Po Box 744785, Atlanta, GA 30374 |
| Enumerated | September 3, 2020 |
| Last updated | September 3, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.