Most Relevant Information
Provider Data
| NPI Number: | 1003337320 |
| Provider Name: | DANA FOOTER PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY1001260 |
Most Important Dates
| Enumeration Date: | 06/28/2017 |
| Last Updated: | 06/28/2017 |
Provider Practice Location
111 MICHIGAN AVE NW
WASHINGTON
DC
200102916
Practice Location Phone/Fax
| Phone: | 2024765000 |
| Fax: |
Provider Mailing Location
PO BOX 37215
BALTIMORE
MD
212973215
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |