Individual
NICOLE L CAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-7081
(202) 745-8000
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(240) 412-3437
(301) 677-8957
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05412
MD
Other
Enumeration date
09/15/2015
Last updated
01/18/2022
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