Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | DC |
NPI | 1033507611 |
---|---|
Provider Name | Dr. Nichole Vernon |
First Address | Washington, DC 20032-1328 |
Second Address | Washington, DC 20032-1328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2015 |
Last Update Date | 05/01/2015 |