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Contact Information

LIDA M SUNDERLAND, ATR-BC, LPC, LCPAT
5039 CONNECTICUT AVE NW STE 7
WASHINGTON, DC20008-2056
 Phone: 202-660-1422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for LIDA M SUNDERLAND · (Female)

NPI Number 1467127407
Status Active
Credentials ATR-BC, LPC, LCPAT
Entity Individual
Enumeration date 08/11/2021
Last updated 03/04/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # PRC15485
  • MD License # ATC282
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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