Provider Demographics
NPI:1255568325
Name:JOHANNESEN, ERIN PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:PATRICK
Last Name:JOHANNESEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 ADAMS MILL RD NW
Mailing Address - Street 2:APT. 509
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2178
Mailing Address - Country:US
Mailing Address - Phone:202-667-6645
Mailing Address - Fax:
Practice Address - Street 1:1700 17TH STREET, NW
Practice Address - Street 2:SUITE 203 CENTRAL WASHINGTON PSYCHOTHERAPY ASSOCIATES
Practice Address - City:WASHINGTON, DC
Practice Address - State:DC
Practice Address - Zip Code:20009-2419
Practice Address - Country:US
Practice Address - Phone:202-496-9911
Practice Address - Fax:202-250-7990
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01160126152084P0015X
DCMD0380352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine