Provider Demographics
NPI:1518232594
Name:ULANET, PATRICIA G (PSYD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:ULANET
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 MACARTHUR BLVD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1557
Mailing Address - Country:US
Mailing Address - Phone:202-333-1403
Mailing Address - Fax:202-333-1404
Practice Address - Street 1:4880 MACARTHUR BLVD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-1557
Practice Address - Country:US
Practice Address - Phone:202-333-1403
Practice Address - Fax:202-333-1404
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPSY1000091103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical