Provider Demographics
NPI:1679794499
Name:MCHUGH, ROSEMARY BERNICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:BERNICE
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9036 LORTON STATION BLVD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4768
Mailing Address - Country:US
Mailing Address - Phone:202-494-5952
Mailing Address - Fax:
Practice Address - Street 1:1601 ARGONNE PL NW
Practice Address - Street 2:SUITE420
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5948
Practice Address - Country:US
Practice Address - Phone:202-588-5707
Practice Address - Fax:202-248-0818
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000284103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC689280Medicare ID - Type UnspecifiedPSYCHOLOGIST