Provider Demographics
| NPI: | 1962705798 |
|---|---|
| Name: | INTER-AMERICAN PSYCHOLOGICAL ASSOCIATES |
| Entity type: | Organization |
| Organization Name: | INTER-AMERICAN PSYCHOLOGICAL ASSOCIATES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MARIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PUIG-CASAURANC |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 202-265-5522 |
| Mailing Address - Street 1: | 3000 CONNECTICUT AVE NW |
| Mailing Address - Street 2: | SUITE 400 |
| Mailing Address - City: | WASHINGTON |
| Mailing Address - State: | DC |
| Mailing Address - Zip Code: | 20008-2509 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 202-265-5522 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 3000 CONNECTICUT AVE NW |
| Practice Address - Street 2: | SUITE 400 |
| Practice Address - City: | WASHINGTON |
| Practice Address - State: | DC |
| Practice Address - Zip Code: | 20008-2509 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 202-265-5522 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-12-16 |
| Last Update Date: | 2010-12-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| DC | PSY1133 | 251S00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health |