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Contact Information

LAUREN STAADEKER, LLC
308 SPRINGWOOD CT NE
VIENNA, VA22180-3579
 Phone: 301-332-8098
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAUREN STAADEKER, LLC

NPI Number 1073209599
LBN Legal business name LAUREN STAADEKER, LLC
Authorized official LAUREN STAADEKER - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2023
Last updated 04/17/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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