Provider Demographics
NPI:1518480821
Name:ANAGNOSTOPOULOS, VASILIKI (MA)
Entity Type:Individual
Prefix:
First Name:VASILIKI
Middle Name:
Last Name:ANAGNOSTOPOULOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:ANAGNOSTOPOULOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11704 CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4707
Mailing Address - Country:US
Mailing Address - Phone:301-787-1479
Mailing Address - Fax:
Practice Address - Street 1:1350 CONNECTICUT AVE NW STE 1225
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1718
Practice Address - Country:US
Practice Address - Phone:202-430-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSYA00044101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor