Doctor Name: | MS. PAULINE IMBRIGATO |
NPI Number: | 1003083619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC301654 |
Business Practice Address: | 1012 14th St Nw Suite 1025 Washington, DC - 200053406 |
Business Phone Number: | 2027376000 |
Business Fax Number: | 2027372332 |
Mailing Address: | 1012 14th St Nw, Suite 1025 WASHINGTON |
State: | DC |
Postal Code: | 20005 |
Phone Number: | 2027376000 |
Fax Number: | 2027372332 |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC301654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |