Basic Information
| Provider Information | |||||||||
| NPI: | 1982928156 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MYERS | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7826 EASTERN AVE NW | ||||||||
| Address2: | SUITE LL18 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200121324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022910912 | ||||||||
| FaxNumber: | 2022919680 | ||||||||
| Practice Location | |||||||||
| Address1: | 7826 EASTERN AVE NW | ||||||||
| Address2: | SUITE LL18 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200121324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022910912 | ||||||||
| FaxNumber: | 2022919680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2010 | ||||||||
| LastUpdateDate: | 03/17/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LC50077948 | DC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.