Individual
DR. MICHAEL NA WANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1215, CHEVY CHASE, MD 20815-6901
(301) 951-9488
(301) 654-8571
Mailing address
5454 WISCONSIN AVE, SUITE 1215, CHEVY CHASE, MD 20815-6901
(301) 951-9488
(301) 654-8571
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3122
MD
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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