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09D2262504 CLIA NUMBER - MEDICAL FACULTY ASSOCIATES INC

Laboratory Demographics

CLIA Number: 09D2262504

Facility Name: MEDICAL FACULTY ASSOCIATES INC

Facility Address:
2150 PENNSYLVANIA AVENUE, NW, SUITE 7-420
WASHINGTON, DC
ZIP 20037
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Facility Phone Number: 202 677-6765

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver
NPI Number: 1114168341

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 09D2262504
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MEDICAL FACULTY ASSOCIATES INC
Street 2150 PENNSYLVANIA AVENUE, NW, SUITE 7-420
City WASHINGTON
State DC
ZIP 20037
Phone 202 677-6765
CertificateType 4
CertificateEffectiveDate 6/14/2022
CertificateExpirationDate 6/13/2024
FacilityType Waiver

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