Provider Demographics
NPI:1790124105
Name:DEE, MOLLIE S (PSYD)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:S
Last Name:DEE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 CONNECTICUT AVE NW STE 400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5700
Mailing Address - Country:US
Mailing Address - Phone:202-302-3277
Mailing Address - Fax:
Practice Address - Street 1:1801 CONNECTICUT AVE NW STE 400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5700
Practice Address - Country:US
Practice Address - Phone:202-302-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000990103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist