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09D2096715 CLIA NUMBER - NATIONAL CENTER FOR ADVANCED PELIVIC SURGERY

Laboratory Demographics

CLIA Number: 09D2096715

Facility Name: NATIONAL CENTER FOR ADVANCED PELIVIC SURGERY

Facility Address:
1133 21ST STREET, NW
WASHINGTON, DC
ZIP 20036
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Facility Phone Number: 202 877-6526

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1134664493

Taxonomy: 103T00000X - Psychologist
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

CLIA Record

Field Name Field Value
CLIA Number 09D2096715
LAB Type Ambulatory Surgery Center
Facility Name NATIONAL CENTER FOR ADVANCED PELIVIC SURGERY
Street 1133 21ST STREET, NW
City WASHINGTON
State DC
ZIP 20036
Phone 202 877-6526
CertificateType 4
CertificateEffectiveDate 5/29/2023
CertificateExpirationDate 5/28/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024