Individual
MRS. LESLEY KATHRYN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
106 IRVING ST NW, SUITE 2300, WASHINGTON, DC 20010-2927
(301) 367-4827
Mailing address
106 IRVING STREET, NW, SUITE 2300, WASHINGTON, DC 20010-2927
(301) 367-4827
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04145
MD
103TC0700X
Clinical Psychologist
0810003455
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000292
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04145
STATE LICENSE
MD
01
—
0810003455
STATE LICENSE
VA
01
—
PSY1000292
STATE LICENSE
DC
Enumeration date
10/11/2006
Last updated
06/14/2013
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