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Individual

DR. LATOYA NATASHA BENDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3000 CONNECTICUT AVE NW, SUITE 134, WASHINGTON, DC 20008-2509
(202) 503-6052
Mailing address
1318 MICHIGAN AVE NE, WASHINGTON, DC 20017-3805
(203) 449-3570

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000383
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945026
VA
Enumeration date
12/12/2006
Last updated
02/15/2011
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