Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 102L00000X | Psychologist | 0513 | MD |
Y | 103T00000X | Psychologist | 0513 | MD |
N | 102L00000X | Psychologist | PSY1000753 | DC |
N | 103T00000X | Psychologist | PSY1000753 | DC |
NPI | 1003172693 |
---|---|
Provider Name | Dr. Rukhsana Mansoor Chaudhry Jewayni |
First Address | Chevy Chase, MD 20815-3503 |
Second Address | Chevy Chase, MD 20815-3503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2012 |
Last Update Date | 23/12/2021 |