Individual
MR. MICHAEL ANTHONY POLITO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-7106
(720) 777-1234
Mailing address
915 E ST NW APT 601, WASHINGTON, DC 20004-2016
(773) 771-7969
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0003791
CO
Other
Enumeration date
01/22/2010
Last updated
06/10/2024
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