DEBORAH POTVIN


Address: 7511 13th St Nw, Washington, DC 20012-1562
Phone: 3017655429

DEBORAH POTVIN (NPI# 1720465156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720465156
Entity Type Individual
Full Name DEBORAH POTVIN
Credential PH.D.
Practice Address 7511 13th St Nw
Washington
DC 20012-1562
Practice Telephone 3017655429
Enumeration Date 2015-05-06
Last Update Date 2015-05-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist MD Behavioral Health & Social Service Providers

Office Location

Street Address 7511 13TH ST NW
City WASHINGTON
State DC
Zip Code 20012-1562

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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1023248226 Stephanie Renee Johnson Clinical Neuropsychologist 1025 Thomas Jefferson St. Nw, Suite 420 East, Washington, DC 20007 2009-07-22
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City WASHINGTON
Zip Code 20012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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