Bendolph, Latoya Natasha
Bendolph, Latoya Natasha is an sole proprietor health care provider with primary practice located at 3000 Connecticut Ave Nw Suite 134, Washington DC 20008-2509. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bendolph, Latoya Natasha can be contacted via phone (202) 503-6052.Contact Information
Primary practice address
3000 Connecticut Ave Nw Suite 134
Washington DC 20008-2509
Phone: (202) 503-6052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY1000383 | District of Columbia |
Profile Details
| NPI number | 1114087657 |
|---|---|
| LBN Legal business name | Bendolph, Latoya Natasha |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Feb 15th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114087657 | NPPES |
| Virginia | MEDICAID | 004945026 |
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