Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | ||
N | 104100000X | Social Worker |
NPI | 1093907586 |
---|---|
Provider Name | Andres Nunez |
First Address | Washington, DC 20016-3439 |
Second Address | Washington, DC 20002-3361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2007 |
Last Update Date | 30/10/2013 |