DR. Chester Wayne Bullock JR., PSYD, MED
NPI #1003043696 in Washington, District of Columbia
Provider Information
- NPI Number
- 1003043696
- Entity Type
- Individual
- Name
- DR. Chester Wayne Bullock JR., PSYD, MED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PSYD, MED
- Enumeration Date
- Jun 22, 2009
- Last Updated
- Jun 10, 2022
Practice Location
- Address
- 910 17TH ST NW STE 419
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20006-2605
- Phone
- (202) 505-2795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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