Organization
NATIONAL COLLEGIATE PREPARATORY PCHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ROSS (EXECUTIVE DIRECTOR)
(202) 832-7737
Entity
Organization
Contact information
Practice address
4600 LIVINGSTON RD SE, NATIONAL COLLEGIATE PREPARTORY PCHS, WASHINGTON, DC 20032-4098
(202) 832-7737
(202) 832-7736
Mailing address
4600 LIVINGSTON RD SE, NATIONAL COLLEGIATE PREPARTORY PCHS, WASHINGTON, DC 20032-4098
(202) 832-7737
(202) 832-7736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PRC14026
DC
103T00000X
Psychologist
PSY1000323
DC
1041S0200X
School Social Worker
Primary
LC50078330
DC
235Z00000X
Speech-Language Pathologist
SLP000442
DC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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