Provider Demographics
NPI:1114530805
Name:MARRINEZ, VERONICA CHRISTINE
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CHRISTINE
Last Name:MARRINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 DENHAM RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1036
Mailing Address - Country:US
Mailing Address - Phone:720-249-6198
Mailing Address - Fax:
Practice Address - Street 1:1300 ALLISON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4441
Practice Address - Country:US
Practice Address - Phone:202-723-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool