Individual
ULTRESSA DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 FIRST STREET, NE, WASHINGTON, DC 20002
(202) 442-5885
Mailing address
1200 FIRST STREET, NE, WASHINGTON, DC 20002
(202) 442-5885
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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