Organization
RE-NEW PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTAL STANLEY PH.D. (OWNER)
(202) 341-0500
Entity
Organization
Contact information
Practice address
1115 MASSACHUSETTS AVE NW, WASHINGTON, DC 20005-4604
(202) 341-0500
(877) 637-7491
Mailing address
1115 MASSACHUSETTS AVE NW, WASHINGTON, DC 20005-4604
(202) 341-0500
(877) 637-7491
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PRC14325
DC
103TC0700X
Clinical Psychologist
Primary
PSY1000629
DC
103TC0700X
Clinical Psychologist
PSY1000866
DC
1041C0700X
Clinical Social Worker
LC50079281
DC
Other
Enumeration date
05/20/2013
Last updated
02/18/2014
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