Organization
BOYS TOWN WASHINGTON DC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA JEAN SHEARMAN (CREDENTIALING SPECIALIST)
(531) 355-8104
Entity
Organization
Contact information
Practice address
10750 COLUMBIA PIKE STE 502, SILVER SPRING, MD 20901-4460
(202) 650-6361
(202) 250-6362
Mailing address
4801 SARGENT RD NE, WASHINGTON, DC 20017-2841
(202) 650-6361
(202) 250-6362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
03/14/2023
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