Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 0810000355 | VA |
N | 103TC0700X | Clinical Psychologist | 0810000355 | VA |
N | 103G00000X | Clinical Psychologist | 3621 | MD |
N | 103TC0700X | Clinical Psychologist | 3621 | MD |
Y | 103G00000X | Clinical Psychologist | PSY1000180 | DC |
Y | 103TC0700X | Clinical Psychologist | PSY1000180 | DC |
NPI | 1003949728 |
---|---|
Provider Name | Dr. Kirsten J. Chadwick |
First Address | Bethesda, MD 20817-3827 |
Second Address | Washington, DC 20008-6042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |