Individual
DR. MAKON FARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2029 P ST NW, SUITE 302, WASHINGTON, DC 20036-5948
(202) 906-9614
Mailing address
4743 BRADLEY BLVD, # 302, CHEVY CHASE, MD 20815-6303
(406) 531-5664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1000573
DC
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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