Provider Demographics
NPI:1902412919
Name:RIZAKOS, ELENI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELENI
Middle Name:
Last Name:RIZAKOS
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 1:1911 R ST NW APT 301A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1027
Mailing Address - Country:US
Mailing Address - Phone:443-722-2389
Mailing Address - Fax:
Practice Address - Street 1:8401 GREENSBORO DR STE 550
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-5146
Practice Address - Country:US
Practice Address - Phone:443-722-2389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist