Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY1000072 | DC |
N | 103T00000X | Psychologist | PSY1000072 | DC |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY1000072 | DC |
N | 103G00000X | Clinical Psychologist | PSY1000072 | DC |
N | 103TC0700X | Clinical Psychologist | PSY1000072 | DC |
N | 103TF0000X | Family Psychologist | PSY1000072 | DC |
NPI | 1740322395 |
---|---|
Provider Name | Dr. Kim Gentin |
First Address | Washington, DC 20007-4104 |
Second Address | Washington, DC 20007-4104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |