NPI 1699144113 · live from the CMS NPI Registry
Nicole L Cammack, Ph.D.
Psychologist, Clinical in Washington, DC. National Provider Identifier 1699144113, active.
NPI record
| NPI | 1699144113 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 50 Irving St Nw, Washington, DC 20422 |
| Practice phone | 202-745-8000 |
| Mailing address | 2480 Llewellyn Ave, Fort George G Meade, MD 20755 |
| Enumerated | September 15, 2015 |
| Last updated | January 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 05412 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.