| Fonthill Behavioral Health, Llp | |
|
1101 17th St Nw #530 Washington DC 20036-4704 | |
| (240) 271-1727 | |
| Not Available |
| Full Name | Fonthill Behavioral Health, Llp |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1101 17th St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Joanna Marie Marino (COO) |
| Authorized Official Contact | 2402711727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fonthill Behavioral Health, Llp 1101 17th St Nw Ste 530 Washington DC 20036-4746 Ph: (240) 271-1727 | Fonthill Behavioral Health, Llp 1101 17th St Nw #530 Washington DC 20036-4704 Ph: (240) 271-1727 |
| NPI Number | 1811313919 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 03/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811313919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1000770 (District Of Columbia) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
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