Individual
HEATHER E LASSLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1311 S MAIN ST STE 202, MOUNT AIRY, MD 21771-5457
(301) 829-2242
(301) 829-2290
Mailing address
1311 S MAIN ST STE 202, MOUNT AIRY, MD 21771-5457
(301) 829-2242
(301) 829-2290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06208
MD
Other
Enumeration date
11/26/2018
Last updated
01/15/2019
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