Individual
MIA PAUSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2168 WISCONSIN AVE NW, WASHINGTON, DC 20007-2280
(202) 867-6918
Mailing address
2168 WISCONSIN AVE NW, WASHINGTON, DC 20007-2280
(202) 867-6918
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY1000907
DC
103TC0700X
Clinical Psychologist
Primary
PSY1000907
DC
103TP2701X
Group Psychotherapy Psychologist
PSY1000907
DC
Other
Enumeration date
12/02/2015
Last updated
02/03/2021
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