Individual
DR. MICHAEL MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
111 MICHIGAN AVE NW, SUITE 3800, WASHINGTON, DC 20010-2916
(202) 476-4284
(202) 476-4043
Mailing address
PO BOX 27215, BALTIMORE, MD 21216-0715
(202) 476-4284
(202) 476-4043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1000802
DC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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