Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1000258 | DC |
Y | 103TC0700X | Clinical Psychologist | 1000258 | DC |
NPI | 1003035791 |
---|---|
Provider Name | Dr. Leila Bremer |
First Address | Washington, DC 20036-6350 |
Second Address | Washington, DC 20036-6350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |