LAUREN BEAM OTTENHOFF


Address: 133 Park St Ne Ste 3b, Vienna, VA 22180-4666
Phone: 7036228378

LAUREN BEAM OTTENHOFF (NPI# 1437642527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437642527
Entity Type Individual
Full Name LAUREN BEAM OTTENHOFF
Credential MA
Practice Address 133 Park St Ne Ste 3b
Vienna
VA 22180-4666
Practice Telephone 7036228378
Mailing Telephone 3022591736
Enumeration Date 2018-06-13
Last Update Date 2018-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Other Providers LAUREN OTTENHOFF

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 133 PARK ST NE STE 3B
City VIENNA
State VA
Zip Code 22180-4666

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1740742345 James Partch Jr. Psychologist 705 Donnington Dr, Chesapeake, VA 23322-7715 2019-04-02
1710491923 Saman Berenji Psychologist 15 Priscilla Rd, Unit 3, Boston, VA 02135-2019 2017-11-27
1770016461 Three Leaves Psychological Services LLC Psychologist 11307 Sunset Hills Rd, B-4, Reston, VA 20190-5278 2017-04-10
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Competitor

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City VIENNA
Zip Code 22180

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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