Provider Demographics
NPI:1598940108
Name:BASSECHES, HARRIET ITKIN (PHD PSYCHOLOGIST LIC)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:ITKIN
Last Name:BASSECHES
Suffix:
Gender:F
Credentials:PHD PSYCHOLOGIST LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 CONNECTICUT AVENUE NW
Mailing Address - Street 2:SUITE #MU
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1730
Mailing Address - Country:US
Mailing Address - Phone:202-232-6555
Mailing Address - Fax:202-338-0409
Practice Address - Street 1:2301 CONNECTICUT AVENUE NW
Practice Address - Street 2:SUITE #MU
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1730
Practice Address - Country:US
Practice Address - Phone:202-232-6555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1083103TC0700X
DIPLOMATE5452103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Provider Identifiers
StateIdentifier IDID TypeIssuer
616623Medicare UPIN
616623Medicare PIN