Individual
DR. JENNIFER KANE MATASICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1555 CONNECTICUT AVE NW, SUITE 500, WASHINGTON, DC 20036-1111
(202) 234-0903
Mailing address
241 17TH ST SE, WASHINGTON, DC 20003-1641
(978) 430-5307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1000755
DC
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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