Organization
PSYCHE & SOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIO OGILVIE PHD (MANAGING MEMBER)
(202) 552-1741
Entity
Organization
Contact information
Practice address
1002 E CAPITOL ST NE, WASHINGTON, DC 20003-3906
(202) 552-1741
Mailing address
1001 E CAPITOL ST SE, WASHINGTON, DC 20003-3905
(202) 552-1741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
08/29/2023
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