Dr. Brigit Monica Van Widenfelt, PhD
Psychologist, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1164060596
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1164060596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brigit Monica Van Widenfelt
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2019
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY1001351 | DC | Yes |
| 103TC0700X | Psychologist, Clinical | 37553 | TX |
Practice location
5208 41st St NwWashington, DC 20015-1902
Phone 512-696-9712
Mailing address
5208 41st St NwWashington, DC 20015-1902
Phone 512-696-9712
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