Sorrell, Deidra Alexander

Sorrell, Deidra Alexander is an individual health care provider with primary practice located at 1282 Smallwood Dr W Ste #250, Waldorf MD 20603-4732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Sorrell, Deidra Alexander can be contacted via phone (240) 461-1305.

Contact Information

Primary practice address
1282 Smallwood Dr W Ste #250 Waldorf MD 20603-4732
Phone: (240) 461-1305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC13819 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2388 Maryland
Behavioral Health & Social Service Providers / School 103TS0200X District of Columbia

Profile Details

NPI number 1063538791
LBN Legal business name Sorrell, Deidra Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Oct 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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