Provider Demographics
NPI:1760630768
Name:BRICKER, KIRA BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIRA
Middle Name:BETH
Last Name:BRICKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RESEARCH CT STE 100
Mailing Address - Street 2:SUITE 39A
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6200
Mailing Address - Country:US
Mailing Address - Phone:301-466-1527
Mailing Address - Fax:301-977-9141
Practice Address - Street 1:932 HUNGERFORD DR
Practice Address - Street 2:SUITE 39A
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1713
Practice Address - Country:US
Practice Address - Phone:301-466-1527
Practice Address - Fax:301-977-9141
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7615103TB0200X
MD04653103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral