Provider Demographics
NPI:1508926023
Name:CHEMTOB, HELEN JEANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:JEANNE
Last Name:CHEMTOB
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 1:10750 KINLOCH RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1243
Mailing Address - Country:US
Mailing Address - Phone:301-439-0728
Mailing Address - Fax:301-439-0815
Practice Address - Street 1:8348 TRAFORD LN
Practice Address - Street 2:SUITE 400
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1663
Practice Address - Country:US
Practice Address - Phone:703-866-2120
Practice Address - Fax:703-451-7539
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002791103TC0700X
MD2187103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical