Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSY1000894 | DC |
NPI | 1043678816 |
---|---|
Provider Name | Dr. Stacie Ain |
First Address | Washington, DC 20037-1461 |
Second Address | Washington, DC 20036-1722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2016 |
Last Update Date | 08/02/2016 |