NPI 1003043696
Chester Wayne Bullock, PSYDMED
Practice location
- Address
- 910 17th St NW STE 419, Washington, DC 20006-2605
- Phone
- (202) 505-2795
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1003043696
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2009
- Record last updated
- 10 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.