Provider Demographics
NPI:1437643186
Name:INOUYE, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:INOUYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10104 DONEGAL CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4340
Mailing Address - Country:US
Mailing Address - Phone:808-937-9877
Mailing Address - Fax:
Practice Address - Street 1:10104 DONEGAL CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4340
Practice Address - Country:US
Practice Address - Phone:808-937-9877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-17
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008478103TC0700X
MD07100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical