Provider Demographics
NPI:1659555084
Name:WASHINGTON CENTER FOR WOMEN'S AND CHILDREN'S WELLNESS
Entity Type:Organization
Organization Name:WASHINGTON CENTER FOR WOMEN'S AND CHILDREN'S WELLNESS
Other - Org Name:WCWCW, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOOKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-881-9464
Mailing Address - Street 1:11300 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 714
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3003
Mailing Address - Country:US
Mailing Address - Phone:301-881-9464
Mailing Address - Fax:301-881-9298
Practice Address - Street 1:11300 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 714
Practice Address - City:N BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3003
Practice Address - Country:US
Practice Address - Phone:301-881-9464
Practice Address - Fax:301-881-9298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056474103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty