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Contact Information

LIFESPAN AND WELLNESS
8121 GEORGIA AVE STE 450
SILVER SPRING, MD20910-4962
 Phone: 301-273-9917
 Fax: 301-273-9918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN AND WELLNESS · (Female)

NPI # 1366047953
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2020
Last updated 12/01/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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