Individual
DR. MICHAEL RADKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3000 CONNECTICUT AVENUE, NW, SUITE 137, WASHINGTON, DC 20008-2549
(202) 234-3278
Mailing address
3000 CONNECTICUT AVENUE, NW, STE 439, WASHINGTON, DC 20008-2549
(202) 234-3278
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1000053
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000053
PSYCHOLOGY LICENSE
DC
01
—
52-2109946
TAX ID
DC
Enumeration date
05/01/2007
Last updated
05/02/2017
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