Provider Demographics
NPI:1114401346
Name:PSYCHOLOGICAL EVALUATIONS AND TREATMENT, L.L.C.
Entity Type:Organization
Organization Name:PSYCHOLOGICAL EVALUATIONS AND TREATMENT, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CASELLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-899-0604
Mailing Address - Street 1:4220 MATTHEWS LN
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-4036
Mailing Address - Country:US
Mailing Address - Phone:240-899-0604
Mailing Address - Fax:
Practice Address - Street 1:4405 E WEST HWY STE 407
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4535
Practice Address - Country:US
Practice Address - Phone:240-899-0604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty