Individual
DR. SUZAN M. STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
4545 42ND ST NW, SUITE 212, WASHINGTON, DC 20016-4623
(202) 237-7035
(202) 686-3578
Mailing address
4618 RENO RD NW, WASHINGTON, DC 20008-2941
(202) 362-6623
(202) 686-3578
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1803
DC
103T00000X
Psychologist
483
WV
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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