Provider Demographics
NPI:1295949295
Name:BRISTOL, RAYMOND CURTIS (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:CURTIS
Last Name:BRISTOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1325 18TH ST NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6515
Mailing Address - Country:US
Mailing Address - Phone:202-466-8690
Mailing Address - Fax:202-466-8691
Practice Address - Street 1:1325 18TH ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6515
Practice Address - Country:US
Practice Address - Phone:202-466-8690
Practice Address - Fax:202-466-8691
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC25534102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst