| Lauren Staadeker, Llc | |
|
308 Springwood Ct Ne Vienna VA 22180-3579 | |
| (301) 332-8098 | |
| Not Available |
| Full Name | Lauren Staadeker, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 308 Springwood Ct Ne, Vienna, Virginia |
| Authorized Official Name and Position | Lauren Staadeker (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3013328098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Staadeker, Llc 308 Springwood Ct Ne Vienna VA 22180-3579 Ph: (301) 332-8098 | Lauren Staadeker, Llc 308 Springwood Ct Ne Vienna VA 22180-3579 Ph: (301) 332-8098 |
| NPI Number | 1073209599 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073209599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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