Individual
LAUREN JILL STAADEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
308 SPRINGWOOD CT NE, VIENNA, VA 22180-3579
(301) 332-8098
Mailing address
308 SPRINGWOOD CT NE, VIENNA, VA 22180-3579
(301) 332-8098
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004586
VA
Other
Enumeration date
05/21/2012
Last updated
03/29/2023
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