Individual
SUSAN J PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(571) 226-8380
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(571) 226-8380
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD33358
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6733891
—
VA
Enumeration date
10/18/2006
Last updated
07/08/2007
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