Individual
DR. SUSAN LYNN VAN OST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1007 BROADMORE CIR, SILVER SPRING, MD 20904-3108
(301) 466-8634
Mailing address
1007 BROADMORE CIR, SILVER SPRING, MD 20904-3108
(301) 466-8634
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1111
MD
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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