Provider Demographics
NPI:1346322583
Name:MINTZ, HARRIET ASHINSKY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:ASHINSKY
Last Name:MINTZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 HEMLOCK ST, NW
Mailing Address - Street 2:HARRIET A. MINTZ, PHD
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1522
Mailing Address - Country:US
Mailing Address - Phone:202-332-4781
Mailing Address - Fax:202-291-9675
Practice Address - Street 1:1727 MASSACHUSETTS AVE, NW
Practice Address - Street 2:#203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-2103
Practice Address - Country:US
Practice Address - Phone:202-332-4781
Practice Address - Fax:202-291-9675
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC147103TC0700X
MD647103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
K200-0001OtherBC/BS
173614Medicare ID - Type Unspecified