Wade, Laurel
Wade, Laurel is an sole proprietor health care provider with primary practice located at 4401 Fairfax Dr Ste 205 , Arlington VA 22203-1622. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wade, Laurel can be contacted via phone (571) 328-7408.Contact Information
Primary practice address
4401 Fairfax Dr Ste 205
Arlington VA 22203-1622
Phone: (571) 328-7408
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
NPI number | 1609472836 |
---|---|
LBN Legal business name | Wade, Laurel |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 11th, 2020 |
Last updated | Aug 7th, 2023 - about 2 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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