NPI 1114087657 · live from the CMS NPI Registry
Latoya Natasha Bendolph, Psy.D.
Psychologist, Clinical in Washington, DC. National Provider Identifier 1114087657, active.
NPI record
| NPI | 1114087657 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3000 Connecticut Ave Nw, Suite 134, Washington, DC 20008 |
| Practice phone | 202-503-6052 |
| Mailing address | 1318 Michigan Ave Ne, Washington, DC 20017 |
| Enumerated | December 12, 2006 |
| Last updated | February 15, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | PSY1000383 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.