Doctor Name: | DR. EMMANUEL OLARINDE |
NPI Number: | 1316153059 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | PSY1695 |
Business Practice Address: | 1014 14th St Nw Suite 1025 Washington, DC - 200053403 |
Business Phone Number: | 2027376000 |
Business Fax Number: | 2027372332 |
Mailing Address: | 1012 14th St Nw, Suite 1025 WASHINGTON |
State: | DC |
Postal Code: | 200053403 |
Phone Number: | 2027376000 |
Fax Number: | 2027372332 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY1695 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |