Individual
MARTA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5225 WISCONSIN AVE NW, STE 513, WASHINGTON, DC 20015-2024
(206) 486-2656
Mailing address
5225 WISCONSIN AVE NW, STE 513, WASHINGTON, DC 20015-2024
(206) 486-2656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60498191
WA
Other
Enumeration date
07/01/2014
Last updated
05/18/2020
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