LYNLEE RENEE TANNER STAPLETON


Address: 2121 Eisenhower Ave, Ste 230, Alexandria, VA 22314-4698
Phone: 2029999999

LYNLEE RENEE TANNER STAPLETON (NPI# 1962692814) 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) 1962692814
Entity Type Individual
Full Name LYNLEE RENEE TANNER STAPLETON
Other Name LYNLEE R TANNER
Credential PH.D.
Practice Address 2121 Eisenhower Ave
Ste 230
Alexandria
VA 22314-4698
Practice Telephone 2029999999
Enumeration Date 2007-07-26
Last Update Date 2017-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
0810005048 VA Behavioral Health & Social Service Providers

Office Location

Street Address 2121 EISENHOWER AVE
STE 230
City ALEXANDRIA
State VA
Zip Code 22314-4698

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NPI Name Taxonomy Address Enumeration
1356365126 Mark Richard Gordon Dentist 2121 Eisenhower Ave, Suite 502, Alexandria, VA 22314-4698 2006-07-26
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1740687490 Practical Speech Solutions, Plc Speech-Language Pathologist 2121 Eisenhower Ave, Suite #234, Alexandria, VA 22314-4698 2014-11-24
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1154756963 Caring Consultants Social Worker 2121 Eisenhower Ave, Suite 604, Alexandria, VA 22314-4698 2013-09-11
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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Competitor

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City ALEXANDRIA
Zip Code 22314

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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