Provider Demographics
NPI:1689890089
Name:TURETSKY, DANIEL ISAAC (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ISAAC
Last Name:TURETSKY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 GRASS HILL TER
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-1231
Mailing Address - Country:US
Mailing Address - Phone:703-256-1559
Mailing Address - Fax:
Practice Address - Street 1:4809 SAINT ELMO AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3009
Practice Address - Country:US
Practice Address - Phone:301-913-5947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2994103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist