Provider Demographics
NPI:1881022747
Name:RIVAS VERAY, ANA CRISTINA (PSYD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CRISTINA
Last Name:RIVAS VERAY
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 1:1308 CLIFTON ST NW
Mailing Address - Street 2:310
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-7029
Mailing Address - Country:US
Mailing Address - Phone:202-480-0855
Mailing Address - Fax:
Practice Address - Street 1:1125 NEW JERSEY AVE NW
Practice Address - Street 2:200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1365
Practice Address - Country:US
Practice Address - Phone:202-480-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06609103T00000X
DC103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist