NPI 1134657166 · live from the CMS NPI Registry
Latisha Ruby Blue
Psychologist, School in Washington, DC. National Provider Identifier 1134657166, active.
NPI record
| NPI | 1134657166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 1405 Brentwood Pkwy Ne, Washington, DC 20002 |
| Practice phone | 202-871-8635 |
| Mailing address | 1800 Ryderwood Ct, Landover, MD 20785 |
| Enumerated | June 4, 2017 |
| Last updated | August 7, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | — |
| Technician, Personal Care Attendant | 3747P1801X | — |
| Psychologist, School primary | 103TS0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.