Provider Demographics
NPI:1902944549
Name:MESSINA, KARYNE E (PSYCHOLOGIST, EDD)
Entity Type:Individual
Prefix:DR
First Name:KARYNE
Middle Name:E
Last Name:MESSINA
Suffix:
Gender:F
Credentials:PSYCHOLOGIST, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 S ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2116
Mailing Address - Country:US
Mailing Address - Phone:301-656-7085
Mailing Address - Fax:301-656-7086
Practice Address - Street 1:2 WISCONSIN CIR
Practice Address - Street 2:SUITE 210
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7003
Practice Address - Country:US
Practice Address - Phone:301-656-7085
Practice Address - Fax:301-656-7085
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001122101YP2500X
MD02234103T00000X
DCLC3010081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical