Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 04556 | MD |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY1000566 | DC |
NPI | 1083856306 |
---|---|
Provider Name | Perette Ladetria-Joi Arrington |
First Address | Washington, DC 20002-3320 |
Second Address | Washington, DC 20002-3320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 23/07/2009 |