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Organization

YOUR NEIGHBORHOOD CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAREEFAH N AL'UQDAH PHD (CLINICAL PSYCHOLOGIST)
(202) 213-2637
Entity
Organization

Contact information

Practice address
2007 VERMONT AVE NW, WASHINGTON, DC 20001-4029
(202) 643-8012
Mailing address
2007 VERMONT AVE NW, WASHINGTON, DC 20001-4029
(202) 643-8012

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053621680
NPI NUMBER
Enumeration date
10/03/2016
Last updated
07/01/2020
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