Individual
DR. KENNETH TERCYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 RESERVOIR RD NW, WASHINGTON, DC 20007-2145
(202) 444-2224
Mailing address
4000 RESERVOIR RD NW, WASHINGTON, DC 20007-2145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3702
MD
103TC0700X
Clinical Psychologist
Primary
PSY1000152
DC
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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