NPI 1154560472 · live from the CMS NPI Registry
George David Angelich, Psy.D.
Psychologist, Clinical in Washington, DC. National Provider Identifier 1154560472, active.
NPI record
| NPI | 1154560472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 5840 Mcarthur Blvd Nw, Suite 2, Washington, DC 20016 |
| Practice phone | 202-494-6722 |
| Mailing address | 4518 S. Dakota Ave., Ne, Washington, DC 20017 |
| Enumerated | February 10, 2009 |
| Last updated | November 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 0810004036 (VA) |
| Psychologist, Clinical primary | 103TC0700X | PSY1000493 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.