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Individual

KURT W ELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
3800 RESERVOIR RD NW, PSYCHIATRY, WASHINGTON, DC 20007-2113
(202) 687-8609
(202) 687-8577
Mailing address
2000 15TH ST N, SUITE 600, ARLINGTON, VA 22201-2683
(202) 687-8609
(202) 687-8577

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00719075
RAILROAD MEDICARE
DC
Enumeration date
11/17/2008
Last updated
08/14/2009
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